Inspection Details

Facility ID: 11910810 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/23/2025 12:00:00 AMComplaintMJP6A0032UnclassifiedRESIDENT CARE - ELOPEMENT STANDARDS--
6/30/2025 12:00:00 AMComplaintQ06SA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN09/23/2025-
6/30/2025 12:00:00 AMComplaintQ06SA0054Class 3MEDICATION - RECORDS09/23/2025-
6/30/2025 12:00:00 AMComplaintQ06SA0056Class 3MEDICATION - LABELING AND ORDERS09/23/2025-
6/30/2025 12:00:00 AMComplaintQ06SA0162Class 3RECORDS - RESIDENT09/23/2025-
6/30/2025 12:00:00 AMComplaintQ06SA0165Class 3RISK MGMT & QA09/23/2025-
12/11/2024 12:00:00 AMStandardEFY1NoneNoneNoneNoneNone
10/22/2024 12:00:00 AMInitial LicensureHFBANoneNoneNoneNoneNone
8/22/2024 12:00:00 AMComplaint8GX5A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS10/22/2024-
8/22/2024 12:00:00 AMComplaint8GX5A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/22/2024-
7/12/2024 12:00:00 AMComplaint8YQXNoneNoneNoneNoneNone
5/29/2024 12:00:00 AMComplaintYL8ENoneNoneNoneNoneNone
4/9/2024 12:00:00 AMComplaintMNLXA0081Class 3TRAINING - STAFF IN-SERVICE05/29/2024-
4/9/2024 12:00:00 AMComplaintMNLXA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS05/29/2024-
4/9/2024 12:00:00 AMComplaintMNLXA0160Class 3RECORDS - FACILITY05/29/2024-
4/9/2024 12:00:00 AMComplaintMNLXCZ875UnclassifiedALZHEIMER DISEASE/DEMENTIA; TRAINING05/29/2024-
5/22/2023 12:00:00 AMComplaint8143A0160Class 3RECORDS - FACILITY07/12/2023-
2/28/2023 12:00:00 AMStandard8C62A0085Class 3TRAINING - NUTRITION & FOOD SERVICE04/12/2023-
1/3/2023 12:00:00 AMStandard8C62A0078Class 3STAFFING STANDARDS - STAFF04/12/2023-
9/24/2022 12:00:00 AMMonitor9WF0NoneNoneNoneNoneNone
8/4/2022 12:00:00 AMComplaint7C38NoneNoneNoneNoneNone
1/4/2022 12:00:00 AMComplaintFM2GNoneNoneNoneNoneNone
1/29/2021 12:00:00 AMStandardILVBA0008Class 3ADMISSIONS - HEALTH ASSESSMENT03/05/2021-
2/24/2020 12:00:00 AMComplaintVV7JNoneNoneNoneNoneNone
2/13/2019 12:00:00 AMMonitorTGY6A0078Class 3STAFFING STANDARDS - STAFF07/01/2019-
2/13/2019 12:00:00 AMMonitorTGY6A0081Class 3TRAINING - STAFF IN-SERVICE04/17/2019-
2/13/2019 12:00:00 AMMonitorTGY6A0082Class 3TRAINING - HIV/AIDS04/17/2019-
2/13/2019 12:00:00 AMMonitorTGY6A0083Class 3TRAINING - FIRST AID AND CPR04/17/2019-
2/13/2019 12:00:00 AMMonitorTGY6A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT04/17/2019-
2/13/2019 12:00:00 AMMonitorTGY6A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS04/17/2019-
2/13/2019 12:00:00 AMMonitorTGY6A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL04/17/2019-
2/13/2019 12:00:00 AMMonitorTGY6CZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION04/17/2019-
1/31/2018 12:00:00 AMComplaint0GCDA0025Class 3RESIDENT CARE - SUPERVISION04/16/2018-
1/31/2018 12:00:00 AMComplaint0GCDA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER04/16/2018-
8/28/2017 12:00:00 AMStandard5ITLA0056Class 3MEDICATION - LABELING AND ORDERS10/30/2017-
8/28/2017 12:00:00 AMComplaintQXEHA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/30/2017-
3/31/2017 12:00:00 AMComplaintXZZ6NoneNoneNoneNoneNone
1/23/2017 12:00:00 AMComplaintU4FQNoneNoneNoneNoneNone
9/19/2016 12:00:00 AMComplaintBI0UNoneNoneNoneNoneNone
7/28/2015 12:00:00 AMStandardZ8MKNoneNoneNoneNoneNone
2/10/2014 12:00:00 AMComplaintF9U9NoneNoneNoneNoneNone
7/30/2013 12:00:00 AMStandardFPPKNoneNoneNoneNoneNone