Deficiencies per Year
20
15
10
5
0
Moderate
Low
Unclassified
Inspection Report
Standard
Deficiencies: 0
Feb 26, 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 inspections including complaint, standard, and monitoring types with a mix of deficiency findings: some inspections cited deficiencies, others corrected them, and several had no deficiencies noted.
Report Facts
Inspections on page: 49
Inspection Report
Routine
Deficiencies: 7
Jan 7, 2025
Visit Reason
Multiple Class 3 deficiencies related to licensure, admissions, resident care, medication assistance, staffing, and records were identified.
Findings
Multiple Class 3 deficiencies related to licensure, admissions, resident care, medication assistance, staffing, and records were identified.
Severity Breakdown
Class 3: 6
Unclassified: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Tag A0004 — LICENSURE - REQUIREMENTS | Class 3 |
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
Inspection Report
Monitor
Deficiencies: 0
May 7, 2024
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 1
Nov 3, 2023
Visit Reason
Class 3 deficiency related to resident care rights and facility procedures.
Findings
Class 3 deficiency related to resident care rights and facility procedures.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
Inspection Report
Routine
Deficiencies: 2
Feb 23, 2023
Visit Reason
Class 3 deficiency for staffing standards and unclassified deficiency for background screening clearinghouse.
Findings
Class 3 deficiency for staffing standards and unclassified deficiency for background screening clearinghouse.
Severity Breakdown
Class 3: 1
Unclassified: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
Inspection Report
Complaint
Deficiencies: 2
Aug 18, 2021
Visit Reason
Class 3 deficiencies related to licensure requirements and resident care supervision.
Findings
Class 3 deficiencies related to licensure requirements and resident care supervision.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0004 — LICENSURE - REQUIREMENTS | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
Inspection Report
Routine
Deficiencies: 6
Apr 15, 2021
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to resident care supervision, elopement standards, staffing, training, and resident records.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care supervision, elopement standards, staffing, training, and resident records.
Severity Breakdown
Class 3: 5
Class 4: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 4 |
Inspection Report
Complaint
Deficiencies: 1
Aug 27, 2020
Visit Reason
Class 3 deficiency related to resident care rights and facility procedures.
Findings
Class 3 deficiency related to resident care rights and facility procedures.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
Inspection Report
Deficiencies: 4
Oct 7, 2019
Visit Reason
Class 3 and Class 4 deficiencies related to staffing standards, training, and background screening.
Findings
Class 3 and Class 4 deficiencies related to staffing standards, training, and background screening.
Severity Breakdown
Class 3: 2
Class 4: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Inspection Report
Routine
Deficiencies: 17
Dec 19, 2018
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to training, records, medication, staffing, and extended congregate care.
Findings
Multiple Class 3 and Class 4 deficiencies related to training, records, medication, staffing, and extended congregate care.
Severity Breakdown
Class 3: 15
Class 4: 2
Deficiencies (17)
| Description | Severity |
|---|---|
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 4 |
| Tag AE203 — ECC - STAFFING REQUIREMENTS | Class 3 |
| Tag AE210 — ECC - TRAINING | Class 3 |
Inspection Report
Monitor
Deficiencies: 5
Mar 27, 2018
Visit Reason
Class 3 deficiencies related to staffing standards and training.
Findings
Class 3 deficiencies related to staffing standards and training.
Severity Breakdown
Class 3: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag AE210 — ECC - TRAINING | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Jan 30, 2018
Visit Reason
Class 3 deficiencies related to emergency plan approval.
Findings
Class 3 deficiencies related to emergency plan approval.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Dec 5, 2016
Visit Reason
Class 3 deficiencies related to resident care supervision and resident records.
Findings
Class 3 deficiencies related to resident care supervision and resident records.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
Inspection Report
Routine
Deficiencies: 3
Dec 5, 2016
Visit Reason
Class 3 deficiencies related to medication records, labeling, and resident contracts.
Findings
Class 3 deficiencies related to medication records, labeling, and resident contracts.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0167 — RESIDENT CONTRACTS | Class 3 |
Inspection Report
Monitor
Deficiencies: 6
Sep 29, 2014
Visit Reason
Class 3 and Class 4 deficiencies related to staffing, training, documentation, and background screening.
Findings
Class 3 and Class 4 deficiencies related to staffing, training, documentation, and background screening.
Severity Breakdown
Class 3: 4
Class 4: 2
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| Tag AE210 — ECC - TRAINING | Class 3 |
| Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Monitor
Deficiencies: 6
Feb 26, 2014
Visit Reason
Class 3 deficiencies related to staff in-service training, HIV/AIDS training, medication assistance, do not resuscitate orders training, documentation, and extended congregate care training.
Findings
Class 3 deficiencies related to staff in-service training, HIV/AIDS training, medication assistance, do not resuscitate orders training, documentation, and extended congregate care training.
Severity Breakdown
Class 3: 5
Class 4: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| Tag AE210 — ECC - TRAINING | Class 3 |
Inspection Report
Monitor
Deficiencies: 2
Mar 13, 2013
Visit Reason
Class 3 deficiencies related to staff in-service training and do not resuscitate orders training.
Findings
Class 3 deficiencies related to staff in-service training and do not resuscitate orders training.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
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