Inspection Report
Complaint Investigation
Deficiencies: 21
Jan 6, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility received numerous Class 3 deficiencies primarily related to admissions, training, medication management, staffing, emergency planning, and record keeping. Some inspections found no deficiencies.
Complaint Details
Multiple complaint investigations are present, including inspections dated 2025-01-06, 2022-07-22, 2021-07-15, 2020-08-07, 2020-05-19, 2017-11-20, 2016-10-18, 2015-09-09, 2014-11-03, 2013-01-28, and 2010-10-18 with various deficiencies noted.
Severity Breakdown
Class 3: 21
Class 4: 1
Deficiencies (21)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
Report Facts
Inspections on page: 56
Severity counts: 22
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 6, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint and monitor inspections cited deficiencies, while many monitor and standard inspections reported no deficiencies or corrected deficiencies.
Report Facts
Inspections on page: 56
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