Inspection Details

Facility ID: 11964641 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
2/19/2025 12:00:00 AMStandardXIZHA0078Class 3STAFFING STANDARDS - STAFF04/14/2025-
2/19/2025 12:00:00 AMStandardXIZHA0093Class 3FOOD SERVICE - DIETARY STANDARDS04/14/2025-
4/18/2023 12:00:00 AMStandardKZSUNoneNoneNoneNoneNone
1/13/2021 12:00:00 AMMonitorEXXXNoneNoneNoneNoneNone
12/10/2019 12:00:00 AMStandardT5W3A0009Class 3ADMISSIONS - ADMISSION PACKAGE12/30/2019-
12/10/2019 12:00:00 AMStandardT5W3A0167Class 3RESIDENT CONTRACTS12/30/2019-
12/10/2019 12:00:00 AMStandardT5W3CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE12/30/2019-
12/10/2019 12:00:00 AMStandardT5W3CZ816Class 3BACKGROUND SCREENING-COMPLIANCE ATTESTATION12/30/2019-
5/8/2019 12:00:00 AMComplaintVPTDNoneNoneNoneNoneNone
2/6/2019 12:00:00 AMMonitor0I67NoneNoneNoneNoneNone
9/6/2018 12:00:00 AMMonitorS4YYNoneNoneNoneNoneNone
7/17/2017 12:00:00 AMStandard705PNoneNoneNoneNoneNone
8/10/2016 12:00:00 AMMonitorLK0PNoneNoneNoneNoneNone
9/14/2015 12:00:00 AMStandardS8QTA0091Class 4TRAINING - DOCUMENTATION & MONITORING10/14/2015-
9/14/2015 12:00:00 AMStandardS8QTA0093Class 3FOOD SERVICE - DIETARY STANDARDS10/14/2015-
4/28/2015 12:00:00 AMMonitorFCX5NoneNoneNoneNoneNone
11/4/2014 12:00:00 AMMonitorVS79NoneNoneNoneNoneNone
6/11/2014 12:00:00 AMMonitor6BS8NoneNoneNoneNoneNone
10/8/2013 12:00:00 AMStandardF3S3A0083Class 3TRAINING - FIRST AID AND CPR01/29/2014-
10/8/2013 12:00:00 AMStandardF3S3A0093Class 3FOOD SERVICE - DIETARY STANDARDS01/29/2014-
10/8/2013 12:00:00 AMStandardF3S3AN278Class 3LNS - RECORDS01/29/2014-
4/22/2013 12:00:00 AMMonitorP8ORNoneNoneNoneNoneNone
8/14/2012 12:00:00 AMMonitorUIQ0NoneNoneNoneNoneNone