Inspection Details

Facility ID: 11964031 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
7/10/2025 12:00:00 AMStandardLVQSNoneNoneNoneNoneNone
4/7/2025 12:00:00 AMExpansion5CW8NoneNoneNoneNoneNone
4/20/2023 12:00:00 AMComplaint0O5RNoneNoneNoneNoneNone
12/13/2022 12:00:00 AMStandard9XYXNoneNoneNoneNoneNone
10/31/2022 12:00:00 AMComplaintIF7SNoneNoneNoneNoneNone
3/31/2021 12:00:00 AMComplaintMXK4A0025Class 3RESIDENT CARE - SUPERVISION06/15/2021-
3/31/2021 12:00:00 AMComplaintMXK4A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS06/15/2021-
12/9/2020 12:00:00 AMStandardHP0UNoneNoneNoneNoneNone
4/7/2020 12:00:00 AM-UGLHNoneNoneNoneNoneNone
7/25/2018 12:00:00 AMMonitorUX2ENoneNoneNoneNoneNone
7/18/2018 12:00:00 AMStandard4HZIA0056Class 3MEDICATION - LABELING AND ORDERS09/11/2018-
7/18/2018 12:00:00 AMStandard4HZIA0091Class 4TRAINING - DOCUMENTATION & MONITORING09/11/2018-
7/18/2018 12:00:00 AMStandard4HZIA0181Class 3EMERGENCY PLAN APPROVAL09/11/2018-
6/6/2017 12:00:00 AMMonitorGZB6NoneNoneNoneNoneNone
5/10/2016 12:00:00 AMStandardMUOFA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/05/2016-
5/10/2016 12:00:00 AMStandardMUOFA0056Class 3MEDICATION - LABELING AND ORDERS07/05/2016-
5/10/2016 12:00:00 AMStandardMUOFA0081Class 3TRAINING - STAFF IN-SERVICE07/05/2016-
5/10/2016 12:00:00 AMStandardMUOFA0083Class 3TRAINING - FIRST AID AND CPR07/05/2016-
5/10/2016 12:00:00 AMStandardMUOFA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/05/2016-
3/11/2015 12:00:00 AMMonitorLNE8A0055Class 3MEDICATION - STORAGE AND DISPOSAL05/22/2015-
5/2/2014 12:00:00 AMStandard7G1LA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/07/2014-
5/2/2014 12:00:00 AMStandard7G1LA0081Class 3TRAINING - STAFF IN-SERVICE07/07/2014-
5/2/2014 12:00:00 AMStandard7G1LA0082Class 3TRAINING - HIV/AIDS07/07/2014-
5/2/2014 12:00:00 AMStandard7G1LA0083Class 3TRAINING - FIRST AID AND CPR07/07/2014-
5/2/2014 12:00:00 AMStandard7G1LA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT07/07/2014-
5/2/2014 12:00:00 AMStandard7G1LA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/07/2014-
10/17/2012 12:00:00 AMComplaint4HNUNoneNoneNoneNoneNone
7/2/2012 12:00:00 AMStandardLYPLA0025Class 3RESIDENT CARE - SUPERVISION08/20/2012-
7/2/2012 12:00:00 AMStandardLYPLA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/20/2012-
7/2/2012 12:00:00 AMStandardLYPLA0093Class 3FOOD SERVICE - DIETARY STANDARDS08/20/2012-