Inspection Details

Facility ID: 11964980 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
1/29/2025 12:00:00 AMMonitorCUJDNoneNoneNoneNoneNone
9/24/2024 12:00:00 AMStandardDQBLNoneNoneNoneNoneNone
2/28/2024 12:00:00 AMComplaintIKD5A0078Class 3STAFFING STANDARDS - STAFF04/10/2024-
3/18/2021 12:00:00 AMStandardLO3HNoneNoneNoneNoneNone
7/29/2020 12:00:00 AMComplaintJBCRNoneNoneNoneNoneNone
4/17/2020 12:00:00 AM-QP0KNoneNoneNoneNoneNone
9/18/2019 12:00:00 AMComplaintM7PDNoneNoneNoneNoneNone
4/1/2019 12:00:00 AMComplaintGW1RNoneNoneNoneNoneNone
6/18/2018 12:00:00 AMStandardYCGPA0053Class 3MEDICATION - ADMINISTRATION10/04/2018-
6/18/2018 12:00:00 AMStandardYCGPA0054Class 3MEDICATION - RECORDS10/04/2018-
5/10/2018 12:00:00 AMComplaintC13KNoneNoneNoneNoneNone
7/7/2017 12:00:00 AMComplaintIDVQNoneNoneNoneNoneNone
10/31/2016 12:00:00 AMComplaintUGLZNoneNoneNoneNoneNone
7/13/2016 12:00:00 AMComplaintW3LUNoneNoneNoneNoneNone
6/24/2016 12:00:00 AMStandardUMJTA0008Class 3ADMISSIONS - HEALTH ASSESSMENT08/11/2016-
6/24/2016 12:00:00 AMStandardUMJTA0078Class 3STAFFING STANDARDS - STAFF08/11/2016-
6/24/2016 12:00:00 AMStandardUMJTA0082Class 3TRAINING - HIV/AIDS08/11/2016-
11/4/2015 12:00:00 AMComplaintO07QA0008Class 3ADMISSIONS - HEALTH ASSESSMENT02/03/2016-
11/4/2015 12:00:00 AMComplaintO07QA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/06/2016-
11/4/2015 12:00:00 AMComplaintO07QA0054Class 3MEDICATION - RECORDS05/06/2016-
11/4/2015 12:00:00 AMComplaintO07QA0056Class 3MEDICATION - LABELING AND ORDERS05/06/2016-
11/4/2015 12:00:00 AMComplaintO07QA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT02/03/2016-
9/2/2015 12:00:00 AMComplaint7D0NA0081Class 3TRAINING - STAFF IN-SERVICE12/16/2015-
5/5/2015 12:00:00 AMMonitor70GSNoneNoneNoneNoneNone
9/4/2014 12:00:00 AMMonitorMYZNNoneNoneNoneNoneNone
6/10/2014 12:00:00 AMStandardWPL7A0025Class 3RESIDENT CARE - SUPERVISION08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0054Class 3MEDICATION - RECORDS08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0055Class 3MEDICATION - STORAGE AND DISPOSAL08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0056Class 3MEDICATION - LABELING AND ORDERS08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0078Class 3STAFFING STANDARDS - STAFF08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0081Class 3TRAINING - STAFF IN-SERVICE08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0082Class 3TRAINING - HIV/AIDS08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0086Class 3TRAINING - ADRD08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0093Class 3FOOD SERVICE - DIETARY STANDARDS08/20/2014-
6/10/2014 12:00:00 AMStandardWPL7A0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT08/20/2014-
8/28/2013 12:00:00 AMComplaintU3IMNoneNoneNoneNoneNone
4/22/2013 12:00:00 AMComplaint12FFNoneNoneNoneNoneNone
10/9/2012 12:00:00 AMComplaint2VUINoneNoneNoneNoneNone
9/6/2012 12:00:00 AMComplaint65IXNoneNoneNoneNoneNone
7/18/2012 12:00:00 AMComplaint0GTPNoneNoneNoneNoneNone