Inspection Report
Complaint Investigation
Deficiencies: 32
Oct 10, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 including complaint and standard inspections with deficiency history and enforcement details.
Findings
Across multiple inspections, the facility had numerous Class 3 deficiencies primarily related to staffing standards, training, records, emergency management, and physical plant safety. Several complaint investigations found no deficiencies, while others cited multiple Class 3 violations.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies cited and others with Class 3 and Unclassified deficiencies related to resident care, reporting, physical plant safety, and background screening.
Severity Breakdown
Class 3: 33
Unclassified: 4
Class 4: 1
Deficiencies (32)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0011 — ADMISSIONS - DISCHARGE | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 4 |
Report Facts
Inspections on page: 52
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 10, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of deficiencies cited, corrected, and no deficiencies found, with numerous complaint and standard inspections over the years.
Report Facts
Inspections on page: 52
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