Inspection Details

Facility ID: 11942816 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/13/2025 12:00:00 AMStandardVNT6A0010Class 3ADMISSIONS - CONTINUED RESIDENCY09/18/2025-
5/13/2025 12:00:00 AMStandardVNT6A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES09/18/2025-
5/13/2025 12:00:00 AMStandardVNT6A0031Class 3RESIDENT CARE - THIRD PARTY SERVICES09/18/2025-
5/13/2025 12:00:00 AMStandardVNT6A0050Class 3MEDICATION - SELF ADMINISTERED MEDICATIONS09/18/2025-
5/13/2025 12:00:00 AMStandardVNT6A0078Class 3STAFFING STANDARDS - STAFF09/18/2025-
5/13/2025 12:00:00 AMStandardVNT6ZZ830Class 3EMERGENCY MANAGEMENT PLANNING09/18/2025-
12/20/2023 12:00:00 AMStandardXNL4A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS03/01/2024-
12/20/2023 12:00:00 AMStandardXNL4A0078Class 3STAFFING STANDARDS - STAFF03/01/2024-
12/20/2023 12:00:00 AMStandardXNL4A0081Class 3TRAINING - STAFF IN-SERVICE03/01/2024-
12/20/2023 12:00:00 AMStandardXNL4A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT03/01/2024-
12/20/2023 12:00:00 AMStandardXNL4A0093Class 3FOOD SERVICE - DIETARY STANDARDS03/01/2024-
12/1/2021 12:00:00 AMComplaint61X6NoneNoneNoneNoneNone
11/3/2020 12:00:00 AMStandard0LBTA0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/14/2021-
11/3/2020 12:00:00 AMStandard0LBTA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/14/2021-
11/3/2020 12:00:00 AMStandard0LBTA0078Class 3STAFFING STANDARDS - STAFF01/14/2021-
11/3/2020 12:00:00 AMStandard0LBTA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT01/14/2021-
1/31/2020 12:00:00 AMComplaintV26ZNoneNoneNoneNoneNone
10/22/2019 12:00:00 AMComplaintE1B1A0007Class 3ADMISSIONS - CRITERIA01/31/2020-
10/22/2019 12:00:00 AMComplaintE1B1A0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/31/2020-
9/16/2019 12:00:00 AMComplaintJCKHNoneNoneNoneNoneNone
8/14/2019 12:00:00 AMComplaint36JSNoneNoneNoneNoneNone
10/3/2018 12:00:00 AMComplaintUWOCNoneNoneNoneNoneNone
8/27/2018 12:00:00 AMComplaint3T2OA0181Class 3EMERGENCY PLAN APPROVAL11/05/2018-
5/1/2018 12:00:00 AMComplaintSJIDNoneNoneNoneNoneNone
3/22/2018 12:00:00 AMStandardRFQKA0008Class 3ADMISSIONS - HEALTH ASSESSMENT06/12/2018-
3/22/2018 12:00:00 AMStandardRFQKA0010Class 3ADMISSIONS - CONTINUED RESIDENCY06/12/2018-
3/22/2018 12:00:00 AMStandardRFQKA0026Class 3RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES06/12/2018-
3/22/2018 12:00:00 AMStandardRFQKA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN06/12/2018-
3/22/2018 12:00:00 AMStandardRFQKA0056Class 3MEDICATION - LABELING AND ORDERS06/12/2018-
3/22/2018 12:00:00 AMStandardRFQKA0091Class 4TRAINING - DOCUMENTATION & MONITORING06/12/2018-
3/22/2018 12:00:00 AMStandardRFQKA0181Class 3EMERGENCY PLAN APPROVAL06/12/2018-
2/15/2017 12:00:00 AMComplaint4ME8NoneNoneNoneNoneNone
8/8/2016 12:00:00 AMComplaintZ9KOA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES11/09/2016-
8/8/2016 12:00:00 AMComplaintZ9KOA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER11/09/2016-
6/8/2016 12:00:00 AMComplaintS1U0NoneNoneNoneNoneNone
2/25/2016 12:00:00 AMStandard6NFEA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/11/2016-
2/25/2016 12:00:00 AMStandard6NFEA0055Class 3MEDICATION - STORAGE AND DISPOSAL04/11/2016-
2/25/2016 12:00:00 AMStandard6NFEA0057Class 3MEDICATION - OVER THE COUNTER (OTC) PRODUCTS04/11/2016-
2/25/2016 12:00:00 AMStandard6NFEA0081Class 3TRAINING - STAFF IN-SERVICE04/11/2016-
2/25/2016 12:00:00 AMStandard6NFEA0085Class 3TRAINING - NUTRITION & FOOD SERVICE04/11/2016-
2/25/2016 12:00:00 AMStandard6NFEA0091Class 4TRAINING - DOCUMENTATION & MONITORING04/11/2016-
2/1/2016 12:00:00 AMComplaintVVI0A0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/11/2016-
2/1/2016 12:00:00 AMComplaintVVI0A0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/11/2016-
11/24/2015 12:00:00 AMComplaintNXMRNoneNoneNoneNoneNone
2/20/2014 12:00:00 AMStandardKUB9A0081Class 3TRAINING - STAFF IN-SERVICE04/10/2014-
2/20/2014 12:00:00 AMStandardKUB9A0162Class 3RECORDS - RESIDENT04/10/2014-
9/13/2013 12:00:00 AMComplaintBLH7NoneNoneNoneNoneNone