Deficiencies per Year
28
21
14
7
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 27
Mar 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 including complaint investigations, standard surveys, monitoring visits, and enforcement actions with deficiency history.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies primarily related to admissions criteria, resident care rights, medication management, training, records, emergency environmental control, and background screening. Several complaint investigations found no deficiencies, while others cited Class 3 deficiencies. Two Class 4 deficiencies were noted related to background screening.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies cited and others with Class 3 deficiencies related to medication records, labeling, administration, and admissions criteria.
Severity Breakdown
Class 3: 26
Class 4: 2
Deficiencies (27)
| Description | Severity |
|---|---|
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| AE205 — ECC - HEALTH ASSESSMENT | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0075 — USE OF PERSONNEL; EMERGENCY CARE (AED) | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| AE207 — ECC - SERVICES | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
Report Facts
Inspections on page: 61
Inspection Report
Complaint Investigation
Deficiencies: 3
Mar 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, 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.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 78
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