Inspection Details

Facility ID: 11964912 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/19/2025 12:00:00 AMComplaintNQK6NoneNoneNoneNoneNone
11/14/2024 12:00:00 AMStandardWWV0NoneNoneNoneNoneNone
4/3/2024 12:00:00 AMStandardKTTHA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS07/10/2024-
4/3/2024 12:00:00 AMStandardKTTHA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN07/10/2024-
4/3/2024 12:00:00 AMStandardKTTHCZ830Class 3EMERGENCY MANAGEMENT PLANNING07/10/2024-
3/23/2022 12:00:00 AMComplaintCD04NoneNoneNoneNoneNone
6/29/2021 12:00:00 AMStandard0F7JNoneNoneNoneNoneNone
9/17/2020 12:00:00 AMComplaint22TCNoneNoneNoneNoneNone
11/19/2019 12:00:00 AMComplaint8008NoneNoneNoneNoneNone
8/28/2018 12:00:00 AMStandardK505A0054Class 3MEDICATION - RECORDS10/31/2018-
1/4/2018 12:00:00 AMComplaintTU85A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES02/26/2018-
1/4/2018 12:00:00 AMComplaintTU85A0079Class 3STAFFING STANDARDS - LEVELS02/26/2018-
3/30/2017 12:00:00 AMComplaintY3XSA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN06/27/2017-
9/15/2016 12:00:00 AMComplaint8LTTNoneNoneNoneNoneNone
7/12/2016 12:00:00 AMComplaintQ9C6NoneNoneNoneNoneNone
7/7/2016 12:00:00 AMStandard7XJEA0026Class 3RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0077Class 3STAFFING STANDARDS - ADMINISTRATORS09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0078Class 3STAFFING STANDARDS - STAFF09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0081Class 3TRAINING - STAFF IN-SERVICE09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0082Class 3TRAINING - HIV/AIDS09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0083Class 3TRAINING - FIRST AID AND CPR09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0093Class 3FOOD SERVICE - DIETARY STANDARDS09/27/2016-
7/7/2016 12:00:00 AMStandard7XJEA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER09/27/2016-
6/12/2015 12:00:00 AMMonitorUIWRNoneNoneNoneNoneNone
5/26/2015 12:00:00 AMComplaint7CGFA0160Class 3RECORDS - FACILITY06/12/2015-
12/2/2014 12:00:00 AMComplaintHCS9A0008Class 3ADMISSIONS - HEALTH ASSESSMENT03/09/2015-
12/2/2014 12:00:00 AMComplaintHCS9A0025Class 3RESIDENT CARE - SUPERVISION03/09/2015-
12/1/2014 12:00:00 AMMonitorXIQONoneNoneNoneNoneNone
8/12/2014 12:00:00 AMComplaint0SE2A0025Class 3RESIDENT CARE - SUPERVISION10/02/2014-
8/12/2014 12:00:00 AMComplaint0SE2A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/02/2014-
8/12/2014 12:00:00 AMStandardWWTYA0054Class 3MEDICATION - RECORDS10/02/2014-
8/12/2014 12:00:00 AMStandardWWTYA0055Class 3MEDICATION - STORAGE AND DISPOSAL10/02/2014-
6/11/2014 12:00:00 AMStandardWWTYA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/12/2014-
6/11/2014 12:00:00 AMStandardWWTYA0056Class 3MEDICATION - LABELING AND ORDERS10/02/2014-
6/11/2014 12:00:00 AMStandardWWTYA0093Class 3FOOD SERVICE - DIETARY STANDARDS08/12/2014-
6/11/2014 12:00:00 AMStandardWWTYA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER08/12/2014-
6/11/2014 12:00:00 AMStandardWWTYAN277Class 3LNS - RESIDENT CARE STANDARDS08/12/2014-
12/10/2013 12:00:00 AMComplaint5JZQA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/08/2014-
12/5/2013 12:00:00 AMComplaintVQP0NoneNoneNoneNoneNone