Deficiencies per Year
24
18
12
6
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 23
May 15, 2025
Visit Reason
State-compiled facility profile showing 30 inspections from 2021-08-01 to 2025-07-31 with deficiency history and enforcement summary.
Findings
Across 30 inspections from August 2021 through July 2025, the facility had 58 violations with multiple complaint surveys showing deficiencies primarily related to admission standards, resident services, medication management, and record keeping. Several inspections resulted in no violations and plans of correction were approved for violations found.
Complaint Details
Multiple complaint surveys conducted between 2021 and 2025 with violations noted in several reports and plans of correction approved; no enforcement actions reported.
Deficiencies (23)
| Description |
|---|
| 1001.10 (g) (1)-(2) (i-ii) — Resident services. (CFR Code 1001.10 (g) (1)-(2) (i-ii)) |
| 487.4 (c) (5) — Admission standards (CFR Code 487.4 (c) (5)) |
| 487.4 (a) — Admission standards (CFR Code 487.4 (a)) |
| 1001.10 (i) (5-8) — Resident services. (CFR Code 1001.10 (i) (5-8)) |
| 485.11 (b) — Records and reports (CFR Code 485.11 (b)) |
| 485.5 (f) — Operating certificates (CFR Code 485.5 (f)) |
| 487.8 (c) — Food service (CFR Code 487.8 (c)) |
| 487.9 (a) (3) — Personnel (CFR Code 487.9 (a) (3)) |
| 1001.10 (l)(1) — Medication management. (CFR Code 1001.10 (l)(1)) |
| 1001.10 (l) (4-7) — Medication management (CFR Code 1001.10 (l) (4-7)) |
| 1001.10 (n) (7) (i) (a-c) — Case management in special needs assisted liv (CFR Code 1001.10 (n) (7) (i) (a-c)) |
| 487.7 (f) (11) (iii) — Resident services (CFR Code 487.7 (f) (11) (iii)) |
| 487.7 (f) (12) (iii) — Resident services (CFR Code 487.7 (f) (12) (iii)) |
| 487.8 (e) (1) — Food service (CFR Code 487.8 (e) (1)) |
| 1001.10 (l) (3) — Medication management. (CFR Code 1001.10 (l) (3)) |
| 487.4 (c) (5) — Admission standards (CFR Code 487.4 (c) (5)) |
| 1001.7 (k) (5) — Admission and retention standards. (CFR Code 1001.7 (k) (5)) |
| 487.8 (a) — Food service (CFR Code 487.8 (a)) |
| 487.7 (d) (11) — Resident services (CFR Code 487.7 (d) (11)) |
| 487.11 (i) (1) — Environmental standards (CFR Code 487.11 (i) (1)) |
| 487.10 (e) (2) — Records and reports (CFR Code 487.10 (e) (2)) |
| 402.4(a)(1) — General requirements (CFR Code 402.4(a)(1)) |
| 487.7 (d) (6) (i) — Resident services (CFR Code 487.7 (d) (6) (i)) |
Report Facts
Inspections on page: 30
Total violations: 58
No-violation inspections: 15
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