Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of deficiencies cited, corrected, and no deficiencies found, with numerous complaint investigations and monitoring visits over the years.
Report Facts
Inspections on page: 70
Inspection Report
Complaint Investigation
Deficiencies: 29
Jul 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement details.
Findings
The facility has multiple complaint and standard inspections over several years with numerous Class 3 deficiencies primarily related to medication management, staff training, resident care, and records. Some inspections showed no deficiencies.
Complaint Details
Multiple complaint investigations are present, including those with no deficiencies and others with Class 3 deficiencies related to medication, training, resident care, and records.
Severity Breakdown
Class 3: 29
2: 1
Unclassified: 2
Deficiencies (29)
| Description | Severity |
|---|---|
| ZZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0034 — ASSISTIVE DEVICES | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0164 — RECORDS - INSPECTION AVAILABILITY | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
Report Facts
Inspections on page: 61
Date range of inspections: Earliest inspection 2012-08-15, most recent 2025-07-23
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