Inspection Details

Survey Date	Inspection Type	Track ID	Deficiency	Class	Requirement Description	Correction Date	Requirement Long Description
8/7/2025 12:00:00 AM	Standard	MI7F	ZZ821	Unclassified	REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION	-	-
6/5/2025 12:00:00 AM	Standard	MI7F	A0032	Class 3	RESIDENT CARE - ELOPEMENT STANDARDS	07/23/2025	-
6/5/2025 12:00:00 AM	Standard	MI7F	CZ821	Class 3	REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION	08/07/2025	-
1/25/2024 12:00:00 AM	Standard	9UPL	A0025	Class 3	RESIDENT CARE - SUPERVISION	02/25/2024	-
1/25/2024 12:00:00 AM	Standard	9UPL	A0032	Class 3	RESIDENT CARE - ELOPEMENT STANDARDS	02/25/2024	-
1/25/2024 12:00:00 AM	Standard	9UPL	A0052	Class 3	MEDICATION - ASSISTANCE WITH SELF-ADMIN	02/25/2024	-
1/25/2024 12:00:00 AM	Standard	9UPL	A0078	Class 3	STAFFING STANDARDS - STAFF	02/25/2024	-
1/25/2024 12:00:00 AM	Standard	9UPL	A0086	Class 3	TRAINING - ADRD	02/25/2024	-
1/25/2024 12:00:00 AM	Standard	9UPL	A0093	Class 3	FOOD SERVICE - DIETARY STANDARDS	02/25/2024	-
1/25/2024 12:00:00 AM	Standard	9UPL	CZ814	Unclassified	BACKGROUND SCREENING CLEARINGHOUSE	04/19/2024	-
8/24/2022 12:00:00 AM	Complaint	2361	CZ000	-	INITIAL COMMENTS	-	-
3/29/2022 12:00:00 AM	Complaint	4SDH	None	None	None	None	None
10/13/2021 12:00:00 AM	Complaint	4P18	None	None	None	None	None
4/27/2021 12:00:00 AM	Complaint	US8S	None	None	None	None	None
3/25/2021 12:00:00 AM	Standard	4C43	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	10/12/2021	-
3/25/2021 12:00:00 AM	Standard	4C43	A0052	Class 3	MEDICATION - ASSISTANCE WITH SELF-ADMIN	10/12/2021	-
3/25/2021 12:00:00 AM	Standard	4C43	A0086	Class 3	TRAINING - ADRD	10/12/2021	-
3/25/2021 12:00:00 AM	Standard	4C43	A0093	Class 3	FOOD SERVICE - DIETARY STANDARDS	10/12/2021	-
3/25/2021 12:00:00 AM	Standard	4C43	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	10/12/2021	-
2/1/2021 12:00:00 AM	Complaint	MW6V	A0025	Class 3	RESIDENT CARE - SUPERVISION	08/24/2022	-
2/1/2021 12:00:00 AM	Complaint	MW6V	A0165	Class 3	RISK MGMT & QA; ADVERSE INCIDENT REPORT	08/24/2022	-
2/27/2020 12:00:00 AM	Complaint	T6ME	A0028	Class 3	RESIDENT CARE - ACTIVITIES OF DAILY LIVING	10/12/2021	-
2/27/2020 12:00:00 AM	Complaint	T6ME	CZ814	Class 4	BACKGROUND SCREENING CLEARINGHOUSE	03/25/2021	-
12/20/2019 12:00:00 AM	Complaint	74YO	A0052	2	MEDICATION - ASSISTANCE WITH SELF-ADMIN	03/12/2020	-
12/20/2019 12:00:00 AM	Complaint	74YO	A0056	Class 3	MEDICATION - LABELING AND ORDERS	02/27/2020	-
12/20/2019 12:00:00 AM	Complaint	74YO	A0165	Class 3	RISK MGMT & QA; ADVERSE INCIDENT REPORT	02/27/2020	-
12/10/2019 12:00:00 AM	Complaint	UHMM	A0008	Class 3	ADMISSIONS - HEALTH ASSESSMENT	02/27/2020	-
12/10/2019 12:00:00 AM	Complaint	UHMM	A0010	Class 3	ADMISSIONS - CONTINUED RESIDENCY	03/12/2020	-
12/10/2019 12:00:00 AM	Complaint	UHMM	A0053	Class 3	MEDICATION - ADMINISTRATION	02/27/2020	-
12/10/2019 12:00:00 AM	Complaint	UHMM	A0055	Class 3	MEDICATION - STORAGE AND DISPOSAL	03/12/2020	-
12/10/2019 12:00:00 AM	Complaint	UHMM	A0079	Class 3	STAFFING STANDARDS - LEVELS	02/27/2020	-
12/10/2019 12:00:00 AM	Complaint	UHMM	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	03/12/2020	-
4/19/2019 12:00:00 AM	Complaint	0T4B	None	None	None	None	None
4/19/2019 12:00:00 AM	Monitor	HJCD	A0200	Class 3	EMERGENCY ENVIRONMENTAL CONTROL	05/17/2019	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0050	Class 3	MEDICATION - SELF ADMINISTERED MEDICATIONS	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0078	Class 3	STAFFING STANDARDS - STAFF	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0081	Class 3	TRAINING - STAFF IN-SERVICE	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0082	Class 3	TRAINING - HIV/AIDS	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0090	Class 3	TRAINING - DO NOT RESUSCITATE ORDERS	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0093	Class 3	FOOD SERVICE - DIETARY STANDARDS	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0150	Class 3	PHYSICAL PLANT - NEW FACILITIES	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0161	Class 3	RECORDS - STAFF	09/17/2018	-
7/3/2018 12:00:00 AM	Standard	CZVL	A0162	Class 3	RECORDS - RESIDENT	09/17/2018	-
6/13/2017 12:00:00 AM	Complaint	B87Q	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	10/24/2017	-
5/9/2017 12:00:00 AM	Complaint	7QCM	A0025	Class 3	RESIDENT CARE - SUPERVISION	10/24/2017	-
5/9/2017 12:00:00 AM	Complaint	7QCM	A0165	Class 3	RISK MGMT & QA; ADVERSE INCIDENT REPORT	10/24/2017	-
12/28/2016 12:00:00 AM	Standard	PZXN	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	02/15/2017	-
12/28/2016 12:00:00 AM	Standard	PZXN	A0091	Class 4	TRAINING - DOCUMENTATION & MONITORING	02/15/2017	-
12/28/2016 12:00:00 AM	Standard	PZXN	CZ814	Class 4	BACKGROUND SCREENING CLEARINGHOUSE	02/15/2017	-
10/21/2015 12:00:00 AM	Complaint	9J7U	None	None	None	None	None
9/29/2015 12:00:00 AM	Complaint	7ZLW	None	None	None	None	None
7/27/2015 12:00:00 AM	Complaint	EI95	A0025	Class 3	RESIDENT CARE - SUPERVISION	08/27/2015	-
7/27/2015 12:00:00 AM	Complaint	EI95	A0056	Class 3	MEDICATION - LABELING AND ORDERS	08/27/2015	-
7/27/2015 12:00:00 AM	Complaint	EI95	A0165	Class 3	RISK MGMT & QA; ADVERSE INCIDENT REPORT	08/27/2015	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0025	Class 3	RESIDENT CARE - SUPERVISION	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0028	Class 3	RESIDENT CARE - ACTIVITIES OF DAILY LIVING	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0052	Class 3	MEDICATION - ASSISTANCE WITH SELF-ADMIN	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0076	Class 3	DO NOT RESUSCITATE ORDERS (DNROS)	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0079	Class 3	STAFFING STANDARDS - LEVELS	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0081	Class 3	TRAINING - STAFF IN-SERVICE	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0082	Class 3	TRAINING - HIV/AIDS	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0083	Class 3	TRAINING - FIRST AID AND CPR	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0086	Class 3	TRAINING - ADRD	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0090	Class 3	TRAINING - DO NOT RESUSCITATE ORDERS	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0091	Class 3	TRAINING - DOCUMENTATION & MONITORING	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0093	Class 3	FOOD SERVICE - DIETARY STANDARDS	10/02/2014	-
8/7/2014 12:00:00 AM	Standard	6E4N	A0151	Class 3	PHYSICAL PLANT - EXISTING FACILITIES	10/02/2014	-
3/25/2014 12:00:00 AM	Complaint	J34X	None	None	None	None	None
7/3/2013 12:00:00 AM	Complaint	UINC	None	None	None	None	None
3/4/2013 12:00:00 AM	Complaint	D29I	None	None	None	None	None
9/12/2012 12:00:00 AM	Standard	NHFP	A0054	Class 3	MEDICATION - RECORDS	11/15/2012	-
9/12/2012 12:00:00 AM	Standard	NHFP	A0057	Class 3	MEDICATION - OVER THE COUNTER (OTC) PRODUCTS	11/15/2012	-
7/24/2012 12:00:00 AM	Standard	NHFP	A0008	Class 4	ADMISSIONS - HEALTH ASSESSMENT	09/12/2012	-
7/24/2012 12:00:00 AM	Standard	NHFP	A0055	Class 3	MEDICATION - STORAGE AND DISPOSAL	09/12/2012	-
7/24/2012 12:00:00 AM	Standard	NHFP	A0084	Class 3	TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT	09/12/2012	-
7/24/2012 12:00:00 AM	Complaint	Q65T	A0025	2	RESIDENT CARE - SUPERVISION	09/12/2012	-