Inspection Details

Facility ID: 11910033 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
8/5/2025 12:00:00 AMComplaintTC95NoneNoneNoneNoneNone
3/17/2025 12:00:00 AMComplaintM8UPNoneNoneNoneNoneNone
6/17/2024 12:00:00 AMComplaint6UWPA0083Class 3TRAINING - FIRST AID AND CPR07/31/2024-
6/17/2024 12:00:00 AMComplaint6UWPA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT07/31/2024-
6/17/2024 12:00:00 AMComplaint6UWPCZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING07/31/2024-
3/25/2024 12:00:00 AMStandardMXCWA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/08/2024-
3/25/2024 12:00:00 AMStandardMXCWA0078Class 3STAFFING STANDARDS - STAFF05/08/2024-
3/25/2024 12:00:00 AMStandardMXCWA0083Class 3TRAINING - FIRST AID AND CPR05/08/2024-
3/25/2024 12:00:00 AMStandardMXCWA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT05/08/2024-
3/25/2024 12:00:00 AMStandardMXCWA0086Class 3TRAINING - ADRD05/08/2024-
3/25/2024 12:00:00 AMStandardMXCWCZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING05/08/2024-
9/16/2023 12:00:00 AMComplaintTITVNoneNoneNoneNoneNone
5/30/2023 12:00:00 AMComplaintHVLPA0162Class 3RECORDS - RESIDENT07/14/2023-
5/30/2023 12:00:00 AMComplaintHVLPA0165Class 3RISK MGMT & QA07/14/2023-
5/30/2023 12:00:00 AMComplaintHVLPCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE07/14/2023-
9/25/2022 12:00:00 AMMonitor0C3YNoneNoneNoneNoneNone
4/14/2022 12:00:00 AMStandard1NU4NoneNoneNoneNoneNone
5/13/2021 12:00:00 AMComplaint6Q83A0055Class 3MEDICATION - STORAGE AND DISPOSAL08/31/2021-
2/24/2021 12:00:00 AMComplaint9R1ANoneNoneNoneNoneNone
1/5/2021 12:00:00 AMComplaintIBXRA00532MEDICATION - ADMINISTRATION02/24/2021-
1/5/2021 12:00:00 AMComplaintIBXRA0055Class 3MEDICATION - STORAGE AND DISPOSAL02/24/2021-
1/5/2021 12:00:00 AMComplaintIBXRA0162Class 3RECORDS - RESIDENT02/24/2021-
1/5/2021 12:00:00 AMComplaintIBXRA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT02/24/2021-
9/21/2020 12:00:00 AMStandardG632A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/05/2020-
9/21/2020 12:00:00 AMStandardG632A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT11/05/2020-
8/19/2020 12:00:00 AM-CGGGNoneNoneNoneNoneNone
6/10/2020 12:00:00 AM-24X7NoneNoneNoneNoneNone
6/1/2020 12:00:00 AMComplaint4R9ANoneNoneNoneNoneNone
2/4/2020 12:00:00 AMComplaintR6NYA0053Class 3MEDICATION - ADMINISTRATION08/19/2020-
2/4/2020 12:00:00 AMComplaintR6NYA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL08/19/2020-
5/15/2019 12:00:00 AMExpansionP84ENoneNoneNoneNoneNone
5/15/2019 12:00:00 AMComplaintZSL5NoneNoneNoneNoneNone
7/11/2018 12:00:00 AMExpansionB8RCA0008Class 3ADMISSIONS - HEALTH ASSESSMENT08/28/2018-
7/11/2018 12:00:00 AMExpansionB8RCA0078Class 3STAFFING STANDARDS - STAFF08/28/2018-
7/11/2018 12:00:00 AMExpansionB8RCA0081Class 3TRAINING - STAFF IN-SERVICE08/28/2018-
7/11/2018 12:00:00 AMExpansionB8RCA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS08/28/2018-
7/11/2018 12:00:00 AMExpansionB8RCA0161Class 3RECORDS - STAFF08/28/2018-
5/7/2018 12:00:00 AMComplaint7VN9NoneNoneNoneNoneNone
5/7/2018 12:00:00 AMStandardMRWCNoneNoneNoneNoneNone
3/16/2017 12:00:00 AMMonitorUM7QNoneNoneNoneNoneNone
5/13/2016 12:00:00 AMStandardNFIUA0081Class 3TRAINING - STAFF IN-SERVICE06/28/2016-
5/13/2016 12:00:00 AMStandardNFIUA0091Class 3TRAINING - DOCUMENTATION & MONITORING06/28/2016-
5/13/2016 12:00:00 AMStandardNFIUAZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE06/28/2016-
5/13/2016 12:00:00 AMStandardNFIUAZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE06/28/2016-
6/22/2015 12:00:00 AMMonitorFED3NoneNoneNoneNoneNone
10/30/2014 12:00:00 AMComplaintHF62NoneNoneNoneNoneNone
9/17/2014 12:00:00 AMMonitorOODSNoneNoneNoneNoneNone
5/30/2014 12:00:00 AMComplaintMIJWNoneNoneNoneNoneNone
5/8/2014 12:00:00 AMStandardD4RZAN276Class 3LNS - NURSING SERVICES06/17/2014-
1/21/2014 12:00:00 AMComplaintR7DPNoneNoneNoneNoneNone
12/20/2013 12:00:00 AMMonitorPWZONoneNoneNoneNoneNone
5/6/2013 12:00:00 AMMonitor6488NoneNoneNoneNoneNone
9/10/2012 12:00:00 AMMonitorR2QUNoneNoneNoneNoneNone