Inspection Report
Deficiencies: 0
Aug 7, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had periods with no deficiencies, cited deficiencies, and corrected deficiencies. Deficiencies were cited and corrected multiple times over the years, with the most recent inspections showing both cited and corrected deficiencies.
Report Facts
Inspections on page: 66
Inspection Report
Complaint Investigation
Deficiencies: 35
Jun 25, 2024
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2024 including complaint, standard, and monitoring inspections with deficiency history and correction dates.
Findings
Across multiple inspections, the facility had numerous Class 3 deficiencies primarily related to resident care, staff training, emergency planning, and records management. Several complaint investigations found deficiencies, but some inspections reported no deficiencies.
Complaint Details
Multiple complaint investigations were conducted, including findings related to risk management and quality assurance, emergency plan approval, and staff training deficiencies.
Severity Breakdown
Class 3: 38
Unclassified: 1
Deficiencies (35)
| Description | Severity |
|---|---|
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| AE203 — ECC - STAFFING REQUIREMENTS | Class 3 |
| AE207 — ECC - SERVICES | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| AE205 — ECC - HEALTH ASSESSMENT | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
| AE208 — ECC - RECORDS | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| AE205 — ECC - HEALTH ASSESSMENT | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
| AE207 — ECC - SERVICES | Class 3 |
Report Facts
Inspections on page: 56
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