Deficiencies per Year
32
24
16
8
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 31
Sep 29, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2016 to 2025 including complaint investigations, standard inspections, and monitoring visits with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility was cited primarily with Class 3 deficiencies related to medication assistance, staffing standards, training, resident care, and background screening compliance. Some Class 4 deficiencies were noted for background screening violations. Several complaint investigations identified resident care and rights issues.
Complaint Details
Multiple complaint investigations were conducted, with findings including resident care supervision, resident rights and facility procedures, and risk management issues.
Severity Breakdown
Class 3: 27
Class 4: 4
Unclassified: 1
2: 2
Deficiencies (31)
| Description | Severity |
|---|---|
| A0165 — RISK MGMT & QA | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| AE205 — ECC - HEALTH ASSESSMENT | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
| AE208 — ECC - RECORDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0087 — ALZHEIMER'S TRAINING - PROV & CURRICULUM APPR | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
Report Facts
Inspections on page: 34
Inspection Report
Complaint Investigation
Deficiencies: 3
Sep 29, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including initial licensure, monitoring, complaint, and standard inspections with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the years.
Complaint Details
Multiple complaint investigations are present with deficiencies cited and corrected on various dates including 07/03/2017, 09/06/2017, 09/18/2018, 09/26/2019, 12/02/2019, 06/04/2020, 08/21/2020, 06/09/2021, and 09/29/2025.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 27
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