Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 18
Jul 16, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2025 including complaint and standard inspections with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility had several Class 3 and Class 4 deficiencies primarily related to resident care, medication assistance, training, emergency management, and background screening. Several complaint investigations found no deficiencies, while some standard inspections cited multiple Class 3 deficiencies.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies cited and others with Class 3 and Class 4 deficiencies related to records, emergency management, and background screening.
Severity Breakdown
Class 3: 16
Class 4: 4
Deficiencies (18)
| Description | Severity |
|---|---|
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 4 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 4 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0027 — RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE | Class 3 |
Report Facts
Inspections on page: 29
Inspection Report
Complaint Investigation
Deficiencies: 3
Jul 16, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections from 2012 to 2025, the facility had a mix of deficiency citations, corrections, and no deficiencies found. The most recent inspections in 2025 show mostly no deficiencies or corrected deficiencies with some cited deficiencies in late 2024.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 41
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