Inspection Details

Facility ID: 11964530 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/23/2025 12:00:00 AMStandard5GZ3NoneNoneNoneNoneNone
1/27/2025 12:00:00 AMStandardX6T7NoneNoneNoneNoneNone
8/9/2023 12:00:00 AMComplaintXH5OA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/21/2023-
5/11/2023 12:00:00 AMMonitor3KCKNoneNoneNoneNoneNone
1/5/2023 12:00:00 AMStandard3NU9A0008Class 3ADMISSIONS - HEALTH ASSESSMENT02/15/2023-
1/5/2023 12:00:00 AMStandard3NU9CZ830Class 3EMERGENCY MANAGEMENT PLANNING02/15/2023-
9/12/2022 12:00:00 AMComplaintHLYTNoneNoneNoneNoneNone
7/9/2022 12:00:00 AMComplaint64ISNoneNoneNoneNoneNone
2/14/2022 12:00:00 AMComplaintUMUTNoneNoneNoneNoneNone
12/28/2021 12:00:00 AMComplaintPQ8WNoneNoneNoneNoneNone
4/22/2021 12:00:00 AMStandard2TFINoneNoneNoneNoneNone
12/29/2020 12:00:00 AMStandard6FO1NoneNoneNoneNoneNone
7/6/2020 12:00:00 AMComplaint4JY1A00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/21/2020-
7/6/2020 12:00:00 AMComplaint4JY1A0079Class 3STAFFING STANDARDS - LEVELS07/21/2020-
8/30/2019 12:00:00 AMComplaint6Q3RA0162Class 3RECORDS - RESIDENT02/12/2020-
8/30/2019 12:00:00 AMComplaint6Q3RCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE11/27/2019-
7/2/2019 12:00:00 AMStandard5K2MA0054Class 3MEDICATION - RECORDS11/27/2019-
7/2/2019 12:00:00 AMStandard5K2MA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES11/27/2019-
7/2/2019 12:00:00 AMComplaint6Q3RA0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING08/30/2019-
7/2/2019 12:00:00 AMComplaint6Q3RA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES11/27/2019-
7/2/2019 12:00:00 AMComplaint6Q3RA0078Class 3STAFFING STANDARDS - STAFF02/12/2020-
7/2/2019 12:00:00 AMComplaint6Q3RA0081Class 3TRAINING - STAFF IN-SERVICE08/30/2019-
7/2/2019 12:00:00 AMComplaint6Q3RA0083Class 3TRAINING - FIRST AID AND CPR08/30/2019-
7/2/2019 12:00:00 AMComplaint6Q3RA0160Class 3RECORDS - FACILITY11/27/2019-
7/2/2019 12:00:00 AMComplaint6Q3RA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT11/27/2019-
4/25/2019 12:00:00 AMStandard5K2MA0055Class 3MEDICATION - STORAGE AND DISPOSAL08/30/2019-
4/25/2019 12:00:00 AMStandard5K2MA0056Class 3MEDICATION - LABELING AND ORDERS11/27/2019-
4/25/2019 12:00:00 AMStandard5K2MA0093Class 3FOOD SERVICE - DIETARY STANDARDS07/02/2019-
4/25/2019 12:00:00 AMStandard5K2MA0167Class 3RESIDENT CONTRACTS08/30/2019-
4/25/2019 12:00:00 AMStandard5K2MA0181Class 3EMERGENCY PLAN APPROVAL08/30/2019-
4/25/2019 12:00:00 AMStandard5K2MA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL08/30/2019-
4/25/2019 12:00:00 AMStandard5K2MCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION07/02/2019-
12/12/2018 12:00:00 AMComplaintP8HJNoneNoneNoneNoneNone
8/16/2018 12:00:00 AMComplaint7RH2NoneNoneNoneNoneNone
10/9/2017 12:00:00 AMComplaintJOF9A00252RESIDENT CARE - SUPERVISION12/11/2017-
10/4/2017 12:00:00 AMComplaintFLG1NoneNoneNoneNoneNone
4/7/2017 12:00:00 AMStandardQRMQA0083Class 3TRAINING - FIRST AID AND CPR05/22/2017-
5/28/2015 12:00:00 AMComplaintBMRUNoneNoneNoneNoneNone
4/7/2015 12:00:00 AMStandard7UOYA0167Class 3RESIDENT CONTRACTS05/12/2015-
2/16/2015 12:00:00 AMComplaintOPDBA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/07/2015-
2/16/2015 12:00:00 AMComplaintOPDBA0081Class 3TRAINING - STAFF IN-SERVICE04/07/2015-
2/16/2015 12:00:00 AMComplaintOPDBA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS04/07/2015-
8/11/2014 12:00:00 AMComplaint84UNNoneNoneNoneNoneNone
4/17/2013 12:00:00 AMStandard4H5RA0079Class 3STAFFING STANDARDS - LEVELS05/03/2013-
12/4/2012 12:00:00 AMComplaintRDSKA0025Class 3RESIDENT CARE - SUPERVISION01/22/2013-
12/4/2012 12:00:00 AMComplaintRDSKA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/22/2013-
7/19/2012 12:00:00 AMComplaintF2ZRNoneNoneNoneNoneNone