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
Deficiencies: 26
Jan 7, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2025 with deficiency history and enforcement data.
Findings
The facility has multiple Class 3 and Class 4 deficiencies across various inspections, primarily related to licensure requirements, resident care supervision, staffing standards, training, and records. Some inspections found no deficiencies.
Complaint Details
Complaint inspections occurred on 2023-11-03, 2023-10-16, 2021-08-18, 2020-08-27, 2018-01-30, 2016-12-05, 2014-03-10, and 2012-11-28 with some deficiencies cited related to resident rights and facility procedures.
Severity Breakdown
Class 3: 26
Class 4: 5
Unclassified: 2
Deficiencies (26)
| Description | Severity |
|---|---|
| A0004 — LICENSURE - REQUIREMENTS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 4 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| AE203 — ECC - STAFFING REQUIREMENTS | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Report Facts
Inspections on page: 61
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