Inspection Details

Facility ID: 11964916 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
11/25/2024 12:00:00 AMComplaintNW1INoneNoneNoneNoneNone
12/18/2023 12:00:00 AMStandard7RL6A0078Class 3STAFFING STANDARDS - STAFF03/01/2024-
12/18/2023 12:00:00 AMStandard7RL6A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER03/01/2024-
3/9/2023 12:00:00 AMExpansionIIEXAN278Class 3LNS - RECORDS05/04/2023-
10/28/2021 12:00:00 AMStandardSONMCZ830UnclassifiedEMERGENCY MANAGEMENT PLANNING01/10/2022-
5/27/2021 12:00:00 AMComplaintNTHRNoneNoneNoneNoneNone
7/15/2020 12:00:00 AMComplaintFCQ9A0025Class 3RESIDENT CARE - SUPERVISION10/07/2020-
7/15/2020 12:00:00 AMMonitorMJ71NoneNoneNoneNoneNone
4/30/2020 12:00:00 AM-3FNJNoneNoneNoneNoneNone
11/8/2019 12:00:00 AMComplaint51NRA0025Class 3RESIDENT CARE - SUPERVISION01/27/2020-
11/8/2019 12:00:00 AMComplaint51NRA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES01/27/2020-
11/8/2019 12:00:00 AMComplaint51NRA0056Class 3MEDICATION - LABELING AND ORDERS01/27/2020-
11/8/2019 12:00:00 AMComplaint51NRA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT01/27/2020-
10/28/2019 12:00:00 AMMonitor9ZZKNoneNoneNoneNoneNone
6/4/2019 12:00:00 AMMonitorDR74A0010Class 3ADMISSIONS - CONTINUED RESIDENCY07/26/2019-
5/16/2019 12:00:00 AMStandardMWWYA0010Class 3ADMISSIONS - CONTINUED RESIDENCY07/30/2019-
5/16/2019 12:00:00 AMStandardMWWYA0056Class 3MEDICATION - LABELING AND ORDERS07/30/2019-
5/16/2019 12:00:00 AMStandardMWWYA0078Class 3STAFFING STANDARDS - STAFF07/30/2019-
5/16/2019 12:00:00 AMStandardMWWYA0081Class 3TRAINING - STAFF IN-SERVICE07/30/2019-
5/16/2019 12:00:00 AMStandardMWWYA0082Class 3TRAINING - HIV/AIDS07/30/2019-
5/16/2019 12:00:00 AMStandardMWWYA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/30/2019-
5/16/2019 12:00:00 AMStandardMWWYCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE07/30/2019-
2/28/2019 12:00:00 AMComplaintPI77NoneNoneNoneNoneNone
11/28/2018 12:00:00 AMComplaintI625A0181Class 3EMERGENCY PLAN APPROVAL02/11/2019-
8/15/2018 12:00:00 AMComplaintKVEONoneNoneNoneNoneNone
5/31/2018 12:00:00 AMComplaintYEM7NoneNoneNoneNoneNone
3/1/2018 12:00:00 AMComplaintCPCBA0008Class 3ADMISSIONS - HEALTH ASSESSMENT05/18/2018-
3/1/2018 12:00:00 AMComplaintCPCBA0025Class 3RESIDENT CARE - SUPERVISION05/18/2018-
3/1/2018 12:00:00 AMComplaintCPCBA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES05/18/2018-
12/12/2017 12:00:00 AMMonitorU0KLNoneNoneNoneNoneNone
9/7/2017 12:00:00 AMStandard7LW3A00102ADMISSIONS - CONTINUED RESIDENCY12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3A00252RESIDENT CARE - SUPERVISION12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3A00312RESIDENT CARE - THIRD PARTY SERVICES12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3A0078Class 4STAFFING STANDARDS - STAFF12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3A0167Class 4RESIDENT CONTRACTS12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE12/06/2017-
9/7/2017 12:00:00 AMStandard7LW3CZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES12/06/2017-
6/22/2017 12:00:00 AMComplaintOG27NoneNoneNoneNoneNone
2/27/2017 12:00:00 AMComplaintK90NA0010Class 3ADMISSIONS - CONTINUED RESIDENCY05/04/2017-
2/27/2017 12:00:00 AMComplaintK90NA0027Class 3RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE05/04/2017-
2/27/2017 12:00:00 AMComplaintK90NA0079Class 3STAFFING STANDARDS - LEVELS05/04/2017-
2/27/2017 12:00:00 AMComplaintK90NA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT05/04/2017-
8/1/2016 12:00:00 AMComplaintRDOQA0008Class 3ADMISSIONS - HEALTH ASSESSMENT10/17/2016-
8/1/2016 12:00:00 AMComplaintRDOQA0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/17/2016-
8/1/2016 12:00:00 AMComplaintRDOQA0025Class 3RESIDENT CARE - SUPERVISION10/17/2016-
8/1/2016 12:00:00 AMComplaintRDOQA0054Class 3MEDICATION - RECORDS10/17/2016-
8/1/2016 12:00:00 AMComplaintRDOQA0056Class 3MEDICATION - LABELING AND ORDERS10/17/2016-
7/7/2016 12:00:00 AMComplaint3CLKNoneNoneNoneNoneNone
12/22/2015 12:00:00 AMComplaint26YXNoneNoneNoneNoneNone
11/12/2015 12:00:00 AMComplaint8V35NoneNoneNoneNoneNone
10/26/2015 12:00:00 AMComplaintC4DPNoneNoneNoneNoneNone
6/16/2015 12:00:00 AMStandard95TWA0055Class 3MEDICATION - STORAGE AND DISPOSAL08/21/2015-
6/16/2015 12:00:00 AMStandard95TWA0056Class 3MEDICATION - LABELING AND ORDERS08/21/2015-
6/16/2015 12:00:00 AMStandard95TWA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER08/21/2015-
3/13/2015 12:00:00 AMMonitorHKQ3NoneNoneNoneNoneNone
9/9/2014 12:00:00 AMComplaintVREQNoneNoneNoneNoneNone
4/17/2014 12:00:00 AMComplaint0NSONoneNoneNoneNoneNone
12/9/2013 12:00:00 AMComplaintSG3CNoneNoneNoneNoneNone
9/13/2013 12:00:00 AMComplaintYFXPNoneNoneNoneNoneNone
9/13/2013 12:00:00 AMStandardZ231A0081Class 3TRAINING - STAFF IN-SERVICE12/03/2013-
9/13/2013 12:00:00 AMStandardZ231A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS12/03/2013-
9/13/2013 12:00:00 AMStandardZ231A0093Class 3FOOD SERVICE - DIETARY STANDARDS12/03/2013-
9/13/2013 12:00:00 AMStandardZ231AZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES12/03/2013-
4/26/2013 12:00:00 AMComplaintU7GFA00522MEDICATION - ASSISTANCE WITH SELF-ADMIN09/04/2013-
4/26/2013 12:00:00 AMComplaintU7GFA00562MEDICATION - LABELING AND ORDERS09/04/2013-
4/26/2013 12:00:00 AMComplaintU7GFA0167Class 3RESIDENT CONTRACTS09/04/2013-
4/24/2013 12:00:00 AMComplaint9ESNNoneNoneNoneNoneNone
10/25/2012 12:00:00 AMComplaintT774NoneNoneNoneNoneNone