Inspection Details

Facility ID: 11964081 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
3/17/2025 12:00:00 AMStandardF77QA0091Class 4TRAINING - DOCUMENTATION & MONITORING05/17/2025-
9/10/2024 12:00:00 AMComplaintGKTBNoneNoneNoneNoneNone
6/6/2023 12:00:00 AMComplaintWWYZA0086Class 3TRAINING - ADRD07/17/2023-
6/6/2023 12:00:00 AMComplaintWWYZA0165Class 3RISK MGMT & QA07/17/2023-
2/21/2023 12:00:00 AMStandardJ9JONoneNoneNoneNoneNone
5/4/2022 12:00:00 AMComplaintVAKXNoneNoneNoneNoneNone
3/3/2021 12:00:00 AMStandardH9WVNoneNoneNoneNoneNone
10/18/2018 12:00:00 AMStandardN3LMNoneNoneNoneNoneNone
5/18/2017 12:00:00 AMComplaintIDYPNoneNoneNoneNoneNone
12/14/2016 12:00:00 AMStandardQYN7A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN02/07/2017-
12/14/2016 12:00:00 AMStandardQYN7A0078Class 3STAFFING STANDARDS - STAFF02/07/2017-
12/14/2016 12:00:00 AMStandardQYN7A0079Class 3STAFFING STANDARDS - LEVELS02/07/2017-
12/14/2016 12:00:00 AMStandardQYN7A0081Class 3TRAINING - STAFF IN-SERVICE02/07/2017-
12/14/2016 12:00:00 AMStandardQYN7A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/07/2017-
12/14/2016 12:00:00 AMStandardQYN7CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE02/07/2017-
1/6/2015 12:00:00 AMComplaint2VZHNoneNoneNoneNoneNone
8/26/2014 12:00:00 AMStandard9WNQA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/27/2014-
8/26/2014 12:00:00 AMStandard9WNQA0082Class 3TRAINING - HIV/AIDS10/27/2014-
8/26/2014 12:00:00 AMStandard9WNQA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS10/27/2014-
8/26/2014 12:00:00 AMStandard9WNQA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/27/2014-
9/10/2012 12:00:00 AMStandardNE5XA0008Class 3ADMISSIONS - HEALTH ASSESSMENT11/13/2012-
9/10/2012 12:00:00 AMStandardNE5XA0053Class 3MEDICATION - ADMINISTRATION11/13/2012-
9/10/2012 12:00:00 AMStandardNE5XA0092Class 3FOOD SERVICE - GENERAL RESPONSIBILITIES12/26/2012-
9/10/2012 12:00:00 AMStandardNE5XA0093Class 3FOOD SERVICE - DIETARY STANDARDS11/13/2012-