The most recent inspection on September 30, 2025, cited two deficiencies related to resident records and Alzheimer’s disease/dementia training. Earlier inspections showed a pattern of deficiencies primarily involving medication management, staff training, records, and food service, with many reports noting similar issues over time. No fines, immediate jeopardy findings, or license actions were listed in the available reports. Complaint investigations were generally unsubstantiated or did not identify new issues beyond those found in routine inspections. The facility’s inspection history shows recurring themes but no clear trend of improvement or worsening in recent years.
Deficiencies (last 9 years)
Deficiencies (over 9 years)5.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had numerous complaint and standard inspections with a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Deficiencies were cited in many inspections, especially in recent years, but some inspections showed no deficiencies or corrected deficiencies.
Multiple Class 3 deficiencies related to staffing, training including HIV/AIDS, first aid, ADRD, DNRO, documentation, and background screening compliance.
Findings
Multiple Class 3 deficiencies related to staffing, training including HIV/AIDS, first aid, ADRD, DNRO, documentation, and background screening compliance.
Severity Breakdown
Class 3: 7Class 4: 1
Deficiencies (8)
Description
Severity
Tag A0078 — STAFFING STANDARDS - STAFF
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 A0086 — TRAINING - ADRD
Class 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Class 3
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Class 3
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Multiple Class 3 deficiencies related to medication records, medication labeling, admissions health assessment, training, food service, and extended congregate care service plans.
Findings
Multiple Class 3 deficiencies related to medication records, medication labeling, admissions health assessment, training, food service, and extended congregate care service plans.
Severity Breakdown
Class 3: 8
Deficiencies (8)
Description
Severity
Tag A0054 — MEDICATION - RECORDS
Class 3
Tag A0056 — MEDICATION - LABELING AND ORDERS
Class 3
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Class 3
Tag A0083 — TRAINING - FIRST AID AND CPR
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT