The most recent inspection on September 29, 2025, had no deficiencies noted. Earlier inspections showed a pattern of medication management and training-related deficiencies, including issues with assistance in self-administration of medications, medication labeling, and staff training. Complaint investigations during this period did not result in any substantiated deficiencies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history indicates improvement, with recent inspections showing no cited deficiencies after previous issues were addressed.
Deficiencies (last 5 years)
Deficiencies (over 5 years)2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had periods with no deficiencies as well as multiple inspections citing deficiencies and some correcting them. The most recent inspections show no deficiencies cited.
Multiple medication-related deficiencies including pill organizers, assistance with self-administration, storage and disposal, and labeling and orders.
Findings
Multiple medication-related deficiencies including pill organizers, assistance with self-administration, storage and disposal, and labeling and orders.
Severity Breakdown
Class 3: 4
Deficiencies (4)
Description
Severity
Tag A0051 — MEDICATION - PILL ORGANIZERS
Class 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Multiple medication and training related deficiencies including assistance with self-administration, medication records, staff in-service training, infection control policy, and extended congregate care service plans and services.
Findings
Multiple medication and training related deficiencies including assistance with self-administration, medication records, staff in-service training, infection control policy, and extended congregate care service plans and services.
Severity Breakdown
Class 3: 6
Deficiencies (6)
Description
Severity
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3
Tag A0054 — MEDICATION - RECORDS
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0169 — RECORDS - INFECTION CONTROL POLICY/PROCEDURE
Class 3
Tag AE206 — ECC - SERVICE PLANS
Class 3
Tag AE207 — ECC - SERVICES
Class 3
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