Inspection Report
Standard
Deficiencies: 0
Aug 1, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2024 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had several complaint and standard inspections with some deficiencies cited, some corrected, and many inspections with no deficiencies noted.
Report Facts
Inspections on page: 14
Inspection Report
Routine
Deficiencies: 8
May 29, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2024 including standard, complaint, and initial licensure inspections with deficiency history.
Findings
Across all inspections, several Class 3 deficiencies were cited primarily related to staff training, records, staffing standards, and risk management. Multiple complaint investigations found no deficiencies.
Complaint Details
Multiple complaint investigations occurred on 2024-02-21, 2023-08-16, 2021-10-04, 2020-08-19, and 2020-06-22 with no deficiencies cited.
Severity Breakdown
Class 3: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
Report Facts
Inspections on page: 14
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