Inspection Details

Facility ID: 11964477 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
7/23/2024 12:00:00 AMComplaint0WFMNoneNoneNoneNoneNone
7/8/2024 12:00:00 AMStandardOWZLA0010Class 3ADMISSIONS - CONTINUED RESIDENCY08/18/2024-
7/8/2024 12:00:00 AMStandardOWZLA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/18/2024-
7/8/2024 12:00:00 AMStandardOWZLCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE08/18/2024-
5/17/2022 12:00:00 AMStandard1FC7A0081Class 3TRAINING - STAFF IN-SERVICE06/17/2022-
5/17/2022 12:00:00 AMStandard1FC7A0082Class 3TRAINING - HIV/AIDS06/17/2022-
5/17/2022 12:00:00 AMStandard1FC7A0086Class 3TRAINING - ADRD06/17/2022-
5/17/2022 12:00:00 AMStandard1FC7A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS06/17/2022-
5/17/2022 12:00:00 AMStandard1FC7A0091Class 3TRAINING - DOCUMENTATION & MONITORING06/17/2022-
5/17/2022 12:00:00 AMStandard1FC7AN278Class 3LNS - RECORDS06/17/2022-
5/17/2022 12:00:00 AMStandard1FC7CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE06/17/2022-
5/17/2022 12:00:00 AMStandard1FC7CZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION06/17/2022-
10/22/2020 12:00:00 AMComplaint1UNINoneNoneNoneNoneNone
1/10/2020 12:00:00 AMComplaintC3T0A0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/22/2020-
1/10/2020 12:00:00 AMComplaintC3T0A0025Class 3RESIDENT CARE - SUPERVISION11/17/2020-
1/10/2020 12:00:00 AMComplaintC3T0A0026Class 3RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES10/22/2020-
1/10/2020 12:00:00 AMComplaintC3T0A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/17/2020-
1/10/2020 12:00:00 AMComplaintC3T0A0093Class 3FOOD SERVICE - DIETARY STANDARDS10/22/2020-
10/9/2019 12:00:00 AMComplaintU94PNoneNoneNoneNoneNone
3/13/2019 12:00:00 AMStandardLIVSA0008Class 3ADMISSIONS - HEALTH ASSESSMENT04/12/2019-
3/13/2019 12:00:00 AMStandardLIVSA0050Class 3MEDICATION - SELF ADMINISTERED MEDICATIONS04/12/2019-
3/13/2019 12:00:00 AMStandardLIVSA0078Class 3STAFFING STANDARDS - STAFF04/12/2019-
3/13/2019 12:00:00 AMStandardLIVSA0081Class 3TRAINING - STAFF IN-SERVICE04/12/2019-
3/13/2019 12:00:00 AMStandardLIVSA0083Class 3TRAINING - FIRST AID AND CPR04/12/2019-
3/13/2019 12:00:00 AMStandardLIVSAN277Class 3LNS - RESIDENT CARE STANDARDS04/12/2019-
3/13/2019 12:00:00 AMStandardLIVSAN278Class 3LNS - RECORDS04/12/2019-
2/14/2019 12:00:00 AMComplaintGSWVA0025Class 3RESIDENT CARE - SUPERVISION03/14/2019-
10/25/2018 12:00:00 AMComplaintYMP8NoneNoneNoneNoneNone
5/9/2018 12:00:00 AMMonitor8IZSNoneNoneNoneNoneNone
7/24/2017 12:00:00 AMMonitorC7L0NoneNoneNoneNoneNone
1/23/2017 12:00:00 AMStandard1HSSA0093Class 4FOOD SERVICE - DIETARY STANDARDS03/27/2017-
1/23/2017 12:00:00 AMStandard1HSSA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/27/2017-
6/7/2016 12:00:00 AMComplaintTDG5A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER10/19/2016-
1/13/2016 12:00:00 AMMonitorJG5XNoneNoneNoneNoneNone
2/10/2015 12:00:00 AMStandardQLK3A0055Class 3MEDICATION - STORAGE AND DISPOSAL05/21/2015-
7/29/2014 12:00:00 AMMonitor0EEENoneNoneNoneNoneNone
2/20/2014 12:00:00 AMMonitorHH0ENoneNoneNoneNoneNone
10/8/2013 12:00:00 AMMonitor0IT7NoneNoneNoneNoneNone
3/20/2013 12:00:00 AMStandardBCLZA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/10/2013-
3/20/2013 12:00:00 AMStandardBCLZA0081Class 4TRAINING - STAFF IN-SERVICE06/10/2013-
3/20/2013 12:00:00 AMStandardBCLZA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/10/2013-
9/24/2012 12:00:00 AMMonitorE62YNoneNoneNoneNoneNone