Inspection Report
Deficiencies: 30
Sep 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and complaint investigations.
Findings
The facility has multiple deficiencies across inspections, primarily Class 3 and some Class 4 violations related to admissions, resident care, medication management, training, and records. Several complaint investigations and monitoring visits are also documented with some deficiencies cited.
Complaint Details
Multiple complaint investigations documented from 2012 through 2022, some with no deficiencies cited and others with Class 3 and Class 4 deficiencies related to resident care, medication assistance, and background screening.
Severity Breakdown
Class 3: 33
Class 4: 4
Unclassified: 1
2: 2
Deficiencies (30)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0164 — RECORDS - INSPECTION AVAILABILITY | Class 4 |
| ZZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | — |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 4 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
Report Facts
Inspections on page: 56
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility underwent numerous complaint and standard inspections over the years with a mix of deficiencies cited, corrected, and some inspections showing no deficiencies. The most recent inspection cited deficiencies.
Report Facts
Inspections on page: 56
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