Inspection Report
Complaint Investigation
Deficiencies: 26
Sep 9, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple complaint investigations from 2012 through 2025 with deficiency history and enforcement classifications.
Findings
Across all inspections, the facility had numerous Class 3 deficiencies primarily related to medication management, staff training, emergency management, and records. Several inspections showed no deficiencies, and a few Class 4 deficiencies were noted related to background screening compliance.
Complaint Details
Multiple complaint investigations are documented from 2012 through 2025, with deficiencies primarily related to medication management, staff training, emergency management, and records.
Severity Breakdown
Class 3: 38
Class 4: 4
Unclassified: 1
Deficiencies (26)
| Description | Severity |
|---|---|
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| ZZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0180 — EMERGENCY MANAGEMENT | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0034 — ASSISTIVE DEVICES | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
Report Facts
Inspections on page: 56
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 9, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across numerous inspections from 2012 through 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected, with many complaint investigations resulting in cited deficiencies.
Report Facts
Inspections on page: 57
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