The most recent inspection on September 30, 2025, identified multiple Class 3 deficiencies related to admissions, resident care, physical plant, reporting requirements, and emergency management planning. Earlier inspections showed a pattern of similar issues, particularly involving resident care supervision, staff training, emergency environmental controls, and reporting requirements, with most deficiencies corrected by the facility. Complaint investigations were generally unsubstantiated or did not result in additional citations. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows recurring themes but no clear worsening or improvement trend over time.
Deficiencies (last 11 years)
Deficiencies (over 11 years)7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Multiple Class 3 deficiencies related to admissions, resident care, physical plant, reporting requirements, and emergency management planning were identified during the initial licensure inspection.
Findings
Multiple Class 3 deficiencies related to admissions, resident care, physical plant, reporting requirements, and emergency management planning were identified during the initial licensure inspection.
Severity Breakdown
Class 3: 6
Deficiencies (6)
Description
Severity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Class 3
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Class 3
Tag ZZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION
Class 3
Tag ZZ830 — EMERGENCY MANAGEMENT PLANNING
Class 3
Inspection Report Original LicensingDeficiencies: 0Sep 30, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint and standard types, with a mix of deficiencies cited, corrected, and some inspections showing no deficiencies. The most recent inspection was an initial licensure with deficiencies cited.
Numerous Class 3 deficiencies related to admissions, resident care, assistive devices, medication, staffing, training, dietary standards, and records were cited with correction dates provided.
Findings
Numerous Class 3 deficiencies related to admissions, resident care, assistive devices, medication, staffing, training, dietary standards, and records were cited with correction dates provided.
Severity Breakdown
Class 3: 13
Deficiencies (13)
Description
Severity
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Class 3
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Class 3
Tag A0034 — ASSISTIVE DEVICES
Class 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3
Tag A0056 — MEDICATION - LABELING AND ORDERS
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Multiple Class 3 deficiencies related to admissions, resident care, medication, physical plant, records, and emergency plan approval were cited with correction dates provided.
Findings
Multiple Class 3 deficiencies related to admissions, resident care, medication, physical plant, records, and emergency plan approval were cited with correction dates provided.
Severity Breakdown
Class 3: 7
Deficiencies (7)
Description
Severity
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Class 3
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Class 3
Tag A0056 — MEDICATION - LABELING AND ORDERS
Class 3
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care, medication, staffing, training, records, emergency environmental control, and background screening were cited with correction dates provided.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care, medication, staffing, training, records, emergency environmental control, and background screening were cited with correction dates provided.
Severity Breakdown
Class 3: 18Class 4: 32: 1
Deficiencies (20)
Description
Severity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0079 — STAFFING STANDARDS - LEVELS
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0082 — TRAINING - HIV/AIDS
Class 3
Tag A0083 — TRAINING - FIRST AID AND CPR
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Class 3
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Class 3
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Class 3
Tag A0160 — RECORDS - FACILITY
Class 3
Tag A0161 — RECORDS - STAFF
Class 3
Tag A0162 — RECORDS - RESIDENT
Class 3
Tag A0181 — EMERGENCY PLAN APPROVAL
Class 3
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Class 4
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Multiple Class 3 and one Class 4 deficiencies related to admissions, resident care, training, physical plant, records, and emergency plan approval were cited with correction dates provided.
Findings
Multiple Class 3 and one Class 4 deficiencies related to admissions, resident care, training, physical plant, records, and emergency plan approval were cited with correction dates provided.
Severity Breakdown
Class 3: 7Class 4: 1
Deficiencies (8)
Description
Severity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3
Tag A0083 — TRAINING - FIRST AID AND CPR
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Multiple Class 3 and Class 4 deficiencies related to admissions, training, dietary standards, and resident contracts were cited with correction dates provided.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, training, dietary standards, and resident contracts were cited with correction dates provided.
Multiple Class 3 and Class 4 deficiencies related to resident care, medication, staffing, training, resident contracts, and unlicensed activity were cited with correction dates provided.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care, medication, staffing, training, resident contracts, and unlicensed activity were cited with correction dates provided.
Severity Breakdown
Class 3: 4Class 4: 2
Deficiencies (6)
Description
Severity
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN