Inspection Report
Standard
Deficiencies: 33
Aug 19, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and complaint investigations.
Findings
The facility has multiple Class 3 deficiencies across various inspections primarily related to admissions, resident care, medication management, staffing, training, physical plant safety, and records. Deficiencies span complaint and standard inspections over several years with no higher severity classifications noted.
Complaint Details
Multiple complaint investigations are included spanning from 2012 through 2025, with deficiencies cited primarily as Class 3 violations related to admissions, resident care, medication records, physical plant safety, and staff training.
Severity Breakdown
Class 3: 38
Class 4: 3
Unclassified: 2
2: 1
Deficiencies (33)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| A0120 — FISCAL - FINANCIAL STABILITY | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| AL243 — LMH - TRAINING | Class 3 |
| ZZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0160 — RECORDS - FACILITY | Class 4 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
Report Facts
Inspections on page: 70
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 19, 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 complaint and standard inspections over more than a decade, with a mix of deficiencies cited, corrected, and no deficiencies found across inspections.
Report Facts
Inspections on page: 66
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