Inspection Details

Facility ID: 11912046 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/12/2025 12:00:00 AMStandard8CSONoneNoneNoneNoneNone
3/5/2025 12:00:00 AMComplaintWX47NoneNoneNoneNoneNone
1/5/2024 12:00:00 AMExpansionYZ3NNoneNoneNoneNoneNone
6/8/2023 12:00:00 AMComplaint2WPENoneNoneNoneNoneNone
9/20/2022 12:00:00 AMStandard7TUENoneNoneNoneNoneNone
11/30/2021 12:00:00 AMComplaintY1MUNoneNoneNoneNoneNone
1/7/2021 12:00:00 AMStandardSGK6A0083Class 3TRAINING - FIRST AID AND CPR02/18/2021-
12/21/2020 12:00:00 AMMonitorO0JDNoneNoneNoneNoneNone
5/28/2020 12:00:00 AMComplaintYLP1NoneNoneNoneNoneNone
3/27/2020 12:00:00 AM-4F7INoneNoneNoneNoneNone
11/13/2019 12:00:00 AMStandardQGNPA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES02/28/2020-
11/13/2019 12:00:00 AMStandardQGNPA0081Class 3TRAINING - STAFF IN-SERVICE02/28/2020-
11/13/2019 12:00:00 AMStandardQGNPA0082Class 3TRAINING - HIV/AIDS02/28/2020-
11/13/2019 12:00:00 AMStandardQGNPA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT02/28/2020-
11/13/2019 12:00:00 AMStandardQGNPA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/28/2020-
11/13/2019 12:00:00 AMStandardQGNPA0161Class 4RECORDS - STAFF02/28/2020-
10/14/2019 12:00:00 AMStandardIVOLNoneNoneNoneNoneNone
6/7/2019 12:00:00 AMMonitor3WR0NoneNoneNoneNoneNone
2/28/2019 12:00:00 AMComplaint1J2PNoneNoneNoneNoneNone
11/29/2018 12:00:00 AMComplaintC1GNNoneNoneNoneNoneNone
10/24/2018 12:00:00 AMComplaintP4K8A00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES12/04/2018-
10/24/2018 12:00:00 AMComplaintP4K8A00772STAFFING STANDARDS - ADMINISTRATORS12/04/2018-
7/10/2018 12:00:00 AMStandardPFR3A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN09/25/2018-
7/10/2018 12:00:00 AMStandardPFR3A0094Class 3FOOD SERVICE - FOOD HYGIENE09/25/2018-
7/10/2018 12:00:00 AMStandardPFR3A0181Class 3EMERGENCY PLAN APPROVAL09/25/2018-
7/10/2018 12:00:00 AMStandardPFR3CZ814Class 3BACKGROUND SCREENING CLEARINGHOUSE09/25/2018-
3/21/2018 12:00:00 AMComplaintSDFQNoneNoneNoneNoneNone
12/22/2017 12:00:00 AMMonitorH7RNNoneNoneNoneNoneNone
12/21/2017 12:00:00 AMComplaintIXFQA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/19/2018-
11/17/2017 12:00:00 AMComplaint8RW1NoneNoneNoneNoneNone
9/27/2017 12:00:00 AMComplaint81R2NoneNoneNoneNoneNone
2/15/2017 12:00:00 AMStandard5BP1A0010Class 3ADMISSIONS - CONTINUED RESIDENCY03/30/2017-
2/15/2017 12:00:00 AMStandard5BP1A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/30/2017-
7/1/2016 12:00:00 AMComplaintL1DMNoneNoneNoneNoneNone
2/17/2016 12:00:00 AMComplaint6ZR9NoneNoneNoneNoneNone
10/2/2015 12:00:00 AMComplaint8R37A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES12/16/2015-
7/21/2015 12:00:00 AMComplaintSOB8NoneNoneNoneNoneNone
5/8/2015 12:00:00 AMComplaintPLZKNoneNoneNoneNoneNone
3/9/2015 12:00:00 AMComplaintPRVMNoneNoneNoneNoneNone
12/2/2014 12:00:00 AMComplaintFQP2A0010Class 3ADMISSIONS - CONTINUED RESIDENCY03/09/2015-
12/2/2014 12:00:00 AMComplaintFQP2A0027Class 3RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE03/09/2015-
12/2/2014 12:00:00 AMComplaintFQP2A0054Class 3MEDICATION - RECORDS03/09/2015-
12/2/2014 12:00:00 AMComplaintFQP2A0079Class 3STAFFING STANDARDS - LEVELS03/09/2015-
12/2/2014 12:00:00 AMComplaintFQP2A0093Class 3FOOD SERVICE - DIETARY STANDARDS03/09/2015-
12/2/2014 12:00:00 AMComplaintFQP2A0162Class 3RECORDS - RESIDENT03/09/2015-
8/19/2014 12:00:00 AMComplaint70IIA0025Class 3RESIDENT CARE - SUPERVISION11/21/2014-
6/25/2014 12:00:00 AMStandard7H63A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/12/2014-
6/25/2014 12:00:00 AMStandard7H63A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/12/2014-
6/25/2014 12:00:00 AMStandard7H63A0079Class 3STAFFING STANDARDS - LEVELS08/12/2014-
2/19/2013 12:00:00 AMComplaintMN3OA0025Class 3RESIDENT CARE - SUPERVISION06/07/2013-
2/19/2013 12:00:00 AMStandardTY31A0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES06/07/2013-
10/19/2012 12:00:00 AMStandardTY31A0010Class 3ADMISSIONS - CONTINUED RESIDENCY02/19/2013-
10/19/2012 12:00:00 AMStandardTY31A00522MEDICATION - ASSISTANCE WITH SELF-ADMIN06/07/2013-
10/19/2012 12:00:00 AMStandardTY31A0055Class 3MEDICATION - STORAGE AND DISPOSAL02/19/2013-
10/19/2012 12:00:00 AMStandardTY31A0079Class 3STAFFING STANDARDS - LEVELS02/19/2013-
10/19/2012 12:00:00 AMStandardTY31A0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES02/19/2013-
10/19/2012 12:00:00 AMStandardTY31A0160Class 3RECORDS - FACILITY06/07/2013-
9/12/2012 12:00:00 AMComplaintYUHVNoneNoneNoneNoneNone
8/21/2012 12:00:00 AMComplaint8Y4GA0167Class 3RESIDENT CONTRACTS10/19/2012-
7/2/2012 12:00:00 AMComplaint6XNBA0025Class 3RESIDENT CARE - SUPERVISION10/19/2012-
7/2/2012 12:00:00 AMComplaint6XNBA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/21/2012-
7/2/2012 12:00:00 AMMonitorML0INoneNoneNoneNoneNone