Inspection Report
Complaint Investigation
Deficiencies: 19
Nov 3, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history and enforcement findings.
Findings
Across multiple inspections, the facility received numerous Class 3 deficiencies primarily related to staffing standards, training, medication assistance, and resident records. Complaint investigations and standard inspections revealed consistent issues with staff training and record keeping.
Complaint Details
Multiple complaint investigations are present, including those dated 2025-11-03, 2024-04-05, 2022-08-16, 2021-12-21, 2019-11-19, 2019-09-27, 2017-04-11, 2016-07-13, and 2013-09-06, with deficiencies cited in medication records, food service dietary standards, and resident records.
Severity Breakdown
Class 3: 22
Unclassified: 2
: 1
Deficiencies (19)
| Description | Severity |
|---|---|
| A0054 — MEDICATION - RECORDS | 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 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ000 — INITIAL COMMENTS | — |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0168 — RESIDENT REFUND POLICY | Class 3 |
| A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW) | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
Report Facts
Inspections on page: 44
Plan of correction due dates: 12
Inspection Report
Complaint
Deficiencies: 0
Nov 3, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including standard, complaint, and monitor types with a mix of deficiencies cited, corrected, and some inspections with no deficiencies found.
Report Facts
Inspections on page: 36
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