Inspection Report
Complaint
Deficiencies: 0
Oct 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2017 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including initial licensure, monitoring, standard, and complaint investigations with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the years.
Report Facts
Inspections on page: 26
Inspection Report
Complaint Investigation
Deficiencies: 26
Aug 13, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2017 to 2025 with deficiency history and enforcement classifications.
Findings
The facility has multiple Class 3 and Class 4 deficiencies across various inspections including complaints, standard, and monitoring visits. Deficiencies cover areas such as resident care, medication management, staffing, emergency planning, and background screening.
Complaint Details
Multiple complaint investigations are present, including those dated 2025-08-13, 2023-12-07, 2022-02-03, 2021-12-13, 2021-11-16, 2021-10-20, 2021-10-18, 2021-09-01, and 2019-09-01 with various deficiencies cited.
Severity Breakdown
Class 3: 22
Class 4: 5
Deficiencies (26)
| Description | Severity |
|---|---|
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0004 — LICENSURE - REQUIREMENTS | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | — |
| CZ841 — IN-PERSON VISITATION | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0054 — MEDICATION - RECORDS | Class 4 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
Report Facts
Inspections on page: 38
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