Deficiencies per Year
12
9
6
3
0
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 1, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across numerous inspections from 2012 to 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Deficiencies were cited in many complaint and standard inspections, with some later corrected.
Report Facts
Inspections on page: 79
Inspection Report
Complaint
Deficiencies: 0
Apr 1, 2025
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Deficiencies: 0
Jan 6, 2025
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Inspection Report
Complaint
Deficiencies: 0
Aug 14, 2024
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
May 9, 2024
Visit Reason
One Class 3 deficiency related to MEDICATION - LABELING AND ORDERS.
Findings
One Class 3 deficiency related to MEDICATION - LABELING AND ORDERS.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
Inspection Report
Deficiencies: 3
Feb 15, 2024
Visit Reason
Three deficiencies: two with severity '2' and one Class 3 related to admissions, resident care supervision, and resident records.
Findings
Three deficiencies: two with severity '2' and one Class 3 related to admissions, resident care supervision, and resident records.
Severity Breakdown
2: 2
Class 3: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0007 — ADMISSIONS - CRITERIA | 2 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Dec 7, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Aug 21, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Jul 11, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 2
May 25, 2023
Visit Reason
Two Class 3 deficiencies related to resident care rights & facility procedures and food service dietary standards.
Findings
Two Class 3 deficiencies related to resident care rights & facility procedures and food service dietary standards.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Mar 30, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Deficiencies: 10
Jan 12, 2023
Visit Reason
Multiple Class 3 and Unclassified deficiencies related to admissions, resident care, staffing, training, records, and background screening.
Findings
Multiple Class 3 and Unclassified deficiencies related to admissions, resident care, staffing, training, records, and background screening.
Severity Breakdown
Class 3: 7
Unclassified: 3
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0080 — TRAINING - CORE & COMPETENCY TEST | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Nov 21, 2022
Visit Reason
Two Class 3 deficiencies related to training on Do Not Resuscitate Orders and resident care supervision.
Findings
Two Class 3 deficiencies related to training on Do Not Resuscitate Orders and resident care supervision.
Severity Breakdown
Class 3: 1
2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
Inspection Report
Complaint
Deficiencies: 4
Sep 14, 2022
Visit Reason
Three Class 3 deficiencies related to staff in-service training, records inspection availability, and risk management & QA.
Findings
Three Class 3 deficiencies related to staff in-service training, records inspection availability, and risk management & QA.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0164 — RECORDS - INSPECTION AVAILABILITY | Class 3 |
| Tag A0165 — RISK MGMT & QA | Class 3 |
| Tag CZ841 — IN-PERSON VISITATION | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Jul 5, 2022
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
May 18, 2022
Visit Reason
One Class 3 deficiency related to emergency management planning.
Findings
One Class 3 deficiency related to emergency management planning.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Feb 15, 2022
Visit Reason
One Class 3 deficiency related to resident care supervision.
Findings
One Class 3 deficiency related to resident care supervision.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Dec 3, 2021
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Deficiencies: 3
Jan 5, 2021
Visit Reason
Three Class 3 deficiencies related to staffing standards, emergency plan approval, and emergency environmental control.
Findings
Three Class 3 deficiencies related to staffing standards, emergency plan approval, and emergency environmental control.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
Inspection Report
Complaint
Deficiencies: 3
May 20, 2020
Visit Reason
Three Class 3 deficiencies related to resident care rights & facility procedures, physical plant safe living environment, and emergency environmental control.
Findings
Three Class 3 deficiencies related to resident care rights & facility procedures, physical plant safe living environment, and emergency environmental control.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Aug 7, 2019
Visit Reason
Two Class 3 deficiencies related to resident care supervision and training on assisted self-administered meds and med management.
Findings
Two Class 3 deficiencies related to resident care supervision and training on assisted self-administered meds and med management.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
Inspection Report
Deficiencies: 5
Oct 16, 2018
Visit Reason
Four Class 3 deficiencies related to staffing standards, food service dietary standards, facility records, resident records, and emergency plan approval.
Findings
Four Class 3 deficiencies related to staffing standards, food service dietary standards, facility records, resident records, and emergency plan approval.
Severity Breakdown
Class 3: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
Inspection Report
Complaint
Deficiencies: 4
Apr 25, 2018
Visit Reason
Four Class 3 deficiencies related to admissions continued residency, resident care supervision, medication records, and food service general responsibilities.
Findings
Four Class 3 deficiencies related to admissions continued residency, resident care supervision, medication records, and food service general responsibilities.
Severity Breakdown
Class 3: 3
2: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
Inspection Report
Monitor
Deficiencies: 4
Feb 13, 2018
Visit Reason
Four Class 3 deficiencies related to resident care social & leisure activities, resident care rights & facility procedures, medication storage and disposal, and facility records.
Findings
Four Class 3 deficiencies related to resident care social & leisure activities, resident care rights & facility procedures, medication storage and disposal, and facility records.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Nov 14, 2017
Visit Reason
One Class 3 deficiency related to pharmacy & dietary uncorrected deficiencies.
Findings
One Class 3 deficiency related to pharmacy & dietary uncorrected deficiencies.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
Inspection Report
Complaint
Deficiencies: 4
Sep 5, 2017
Visit Reason
Four deficiencies including three Class 3 related to resident care rights, medication labeling, physical plant safe living environment, and one Class 4 related to background screening clearinghouse.
Findings
Four deficiencies including three Class 3 related to resident care rights, medication labeling, physical plant safe living environment, and one Class 4 related to background screening clearinghouse.
Severity Breakdown
Class 3: 3
Class 4: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
Inspection Report
Expansion
Deficiencies: 5
Mar 13, 2017
Visit Reason
Four Class 3 deficiencies and one Class 4 deficiency related to resident care social activities, staff in-service training, HIV/AIDS training, facility records, and limited nursing services resident care standards.
Findings
Four Class 3 deficiencies and one Class 4 deficiency related to resident care social activities, staff in-service training, HIV/AIDS training, facility records, and limited nursing services resident care standards.
Severity Breakdown
Class 3: 4
Class 4: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag AN277 — LNS - RESIDENT CARE STANDARDS | Class 4 |
Inspection Report
Complaint
Deficiencies: 4
Aug 22, 2016
Visit Reason
One Class 3 deficiency and three Class 4 deficiencies related to training on assisted self-admin meds, results of screening & notification, background screening clearinghouse, and prohibited offenses.
Findings
One Class 3 deficiency and three Class 4 deficiencies related to training on assisted self-admin meds, results of screening & notification, background screening clearinghouse, and prohibited offenses.
Severity Breakdown
Class 3: 1
Class 4: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag AZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| Tag AZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Deficiencies: 10
Apr 12, 2016
Visit Reason
Multiple Class 3 deficiencies related to resident care social activities, medication labeling, resident care supervision, medication assistance, medication records, staffing standards, staff in-service training, training on DNROs, food service dietary standards, and risk management & QA.
Findings
Multiple Class 3 deficiencies related to resident care social activities, medication labeling, resident care supervision, medication assistance, medication records, staffing standards, staff in-service training, training on DNROs, food service dietary standards, and risk management & QA.
Severity Breakdown
Class 3: 10
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
Inspection Report
Complaint
Deficiencies: 4
Oct 3, 2014
Visit Reason
Four Class 3 deficiencies related to medication records, medication storage and disposal, staff in-service training, and training on assisted self-admin meds.
Findings
Four Class 3 deficiencies related to medication records, medication storage and disposal, staff in-service training, and training on assisted self-admin meds.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
Inspection Report
Deficiencies: 9
Feb 20, 2014
Visit Reason
Multiple Class 3 deficiencies related to resident care supervision, social & leisure activities, medication assistance, medication records, staffing levels, staff in-service training, training on DNROs, and food service dietary standards.
Findings
Multiple Class 3 deficiencies related to resident care supervision, social & leisure activities, medication assistance, medication records, staffing levels, staff in-service training, training on DNROs, and food service dietary standards.
Severity Breakdown
Class 3: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
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