Inspection Report
Complaint Investigation
Deficiencies: 27
Apr 15, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and enforcement details.
Findings
Across all inspections, the facility had multiple Class 3 and Class 4 deficiencies primarily related to staffing standards, dietary standards, medication management, background screening, and resident care supervision. Several complaint investigations found no deficiencies, while others cited repeated Class 3 violations.
Complaint Details
Multiple complaint investigations are documented, some with no deficiencies found and others citing Class 3 and Class 4 violations related to staffing, medication, background screening, and resident care.
Severity Breakdown
Class 3: 23
Class 4: 5
Deficiencies (27)
| Description | Severity |
|---|---|
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0004 — LICENSURE - REQUIREMENTS | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Report Facts
Inspections on page: 38
Inspection Report
Complaint Investigation
Deficiencies: 3
Apr 15, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of deficiency findings including cited, corrected, and no deficiencies. Several complaint investigations and monitoring inspections resulted in deficiencies cited, while many inspections found no deficiencies or corrected previous issues.
Complaint Details
Multiple complaint investigations are present from 2013 through 2024 with varied deficiency outcomes including cited, corrected, and no deficiencies.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 52
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