Inspection Details

Facility ID: 11964446 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
11/13/2024 12:00:00 AMStandard7L2TNoneNoneNoneNoneNone
10/20/2022 12:00:00 AMStandardWGU2NoneNoneNoneNoneNone
4/20/2022 12:00:00 AMStandardHKCPNoneNoneNoneNoneNone
11/23/2020 12:00:00 AMMonitorULY6NoneNoneNoneNoneNone
7/30/2020 12:00:00 AMMonitor1CBUNoneNoneNoneNoneNone
7/30/2020 12:00:00 AMComplaintVB5QNoneNoneNoneNoneNone
10/7/2019 12:00:00 AMComplaint7M0LNoneNoneNoneNoneNone
8/21/2019 12:00:00 AMStandard0VS1A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL01/23/2020-
8/21/2019 12:00:00 AMComplaintY7VMNoneNoneNoneNoneNone
5/13/2019 12:00:00 AMComplaintDHRVNoneNoneNoneNoneNone
3/6/2019 12:00:00 AMComplaintFJ7MA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT08/21/2019-
3/6/2019 12:00:00 AMComplaintFJ7MCZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE08/21/2019-
2/7/2019 12:00:00 AMComplaintG6T7A0181Class 3EMERGENCY PLAN APPROVAL05/20/2019-
2/7/2019 12:00:00 AMComplaintG6T7AE200Class 3ECC - LICENSING05/20/2019-
10/4/2018 12:00:00 AMComplaintBZCXNoneNoneNoneNoneNone
8/6/2018 12:00:00 AMComplaintPOX7NoneNoneNoneNoneNone
10/23/2017 12:00:00 AMComplaintKGP5NoneNoneNoneNoneNone
10/18/2017 12:00:00 AMStandardQRPLA0054Class 3MEDICATION - RECORDS01/09/2018-
10/18/2017 12:00:00 AMStandardQRPLA0078Class 3STAFFING STANDARDS - STAFF01/09/2018-
10/18/2017 12:00:00 AMStandardQRPLA0081Class 3TRAINING - STAFF IN-SERVICE01/09/2018-
10/18/2017 12:00:00 AMStandardQRPLA0161Class 3RECORDS - STAFF01/09/2018-
10/18/2017 12:00:00 AMStandardQRPLCZ813Class 4RESULTS OF SCREENING & NOTIFICATION IN FILE01/09/2018-
10/18/2017 12:00:00 AMStandardQRPLCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION01/09/2018-
4/26/2017 12:00:00 AMComplaint9KULA0010Class 3ADMISSIONS - CONTINUED RESIDENCY07/20/2017-
4/26/2017 12:00:00 AMComplaint9KULA0025Class 3RESIDENT CARE - SUPERVISION07/20/2017-
4/26/2017 12:00:00 AMComplaint9KULA0081Class 3TRAINING - STAFF IN-SERVICE07/20/2017-
8/29/2016 12:00:00 AMMonitor297UNoneNoneNoneNoneNone
8/18/2015 12:00:00 AMStandard6YK1A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/06/2015-
8/18/2015 12:00:00 AMStandard6YK1A0078Class 3STAFFING STANDARDS - STAFF10/06/2015-
10/31/2014 12:00:00 AMComplaint2S2TNoneNoneNoneNoneNone
6/26/2014 12:00:00 AMComplaintFE1FA0010Class 3ADMISSIONS - CONTINUED RESIDENCY08/11/2014-
6/26/2014 12:00:00 AMComplaintFE1FA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/11/2014-
6/26/2014 12:00:00 AMExpansionHNBDNoneNoneNoneNoneNone
2/27/2014 12:00:00 AMComplaintUFTDNoneNoneNoneNoneNone
1/16/2014 12:00:00 AMComplaintIYLYA0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/16/2014-
1/16/2014 12:00:00 AMComplaintIYLYA0025Class 3RESIDENT CARE - SUPERVISION04/16/2014-
1/16/2014 12:00:00 AMComplaintIYLYA0055Class 3MEDICATION - STORAGE AND DISPOSAL04/16/2014-
8/16/2013 12:00:00 AMComplaintE594NoneNoneNoneNoneNone
8/16/2013 12:00:00 AMStandardXS18A0008Class 3ADMISSIONS - HEALTH ASSESSMENT10/10/2013-
8/16/2013 12:00:00 AMStandardXS18A0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/10/2013-
8/16/2013 12:00:00 AMStandardXS18A0056Class 3MEDICATION - LABELING AND ORDERS10/10/2013-
8/16/2013 12:00:00 AMStandardXS18A0057Class 3MEDICATION - OVER THE COUNTER (OTC) PRODUCTS10/10/2013-
8/16/2013 12:00:00 AMStandardXS18A0078Class 3STAFFING STANDARDS - STAFF10/10/2013-
8/16/2013 12:00:00 AMStandardXS18A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/10/2013-
8/16/2013 12:00:00 AMStandardXS18AZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES10/14/2013-
9/20/2012 12:00:00 AMComplaintHU1ZNoneNoneNoneNoneNone