Inspection Details

Facility ID: 11963861 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
7/25/2025 12:00:00 AMMonitor83N4NoneNoneNoneNoneNone
10/19/2023 12:00:00 AMStandard2P6EA0055Class 3MEDICATION - STORAGE AND DISPOSAL12/05/2023-
10/19/2023 12:00:00 AMStandard2P6EA0056Class 3MEDICATION - LABELING AND ORDERS12/05/2023-
10/19/2023 12:00:00 AMStandard2P6EA0078Class 3STAFFING STANDARDS - STAFF12/05/2023-
10/19/2023 12:00:00 AMStandard2P6EA0167Class 3RESIDENT CONTRACTS12/05/2023-
10/19/2023 12:00:00 AMStandard2P6ECZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION12/05/2023-
8/26/2021 12:00:00 AMStandardFFWKNoneNoneNoneNoneNone
12/22/2020 12:00:00 AMComplaint4FOPA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT01/28/2021-
8/26/2019 12:00:00 AMStandardSFD3NoneNoneNoneNoneNone
11/27/2017 12:00:00 AMChange of Ownership0ZBVA0003Class 3LICENSURE - CHANGE OF OWNERSHIP (CHOW)01/04/2018-
11/27/2017 12:00:00 AMChange of Ownership0ZBVA0081Class 3TRAINING - STAFF IN-SERVICE01/04/2018-
11/27/2017 12:00:00 AMChange of Ownership0ZBVA0082Class 3TRAINING - HIV/AIDS01/04/2018-
11/27/2017 12:00:00 AMChange of Ownership0ZBVA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS01/04/2018-
4/6/2017 12:00:00 AMStandardQERXNoneNoneNoneNoneNone
12/21/2015 12:00:00 AMMonitorOHRONoneNoneNoneNoneNone
11/18/2015 12:00:00 AMComplaint82FRNoneNoneNoneNoneNone
4/9/2015 12:00:00 AMStandard9K3SNoneNoneNoneNoneNone
3/1/2013 12:00:00 AMStandardFEF7NoneNoneNoneNoneNone