Inspection Details

Facility ID: 11965230 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
1/6/2025 12:00:00 AMStandard8DPZA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS02/06/2025-
1/6/2025 12:00:00 AMStandard8DPZA0081Class 3TRAINING - STAFF IN-SERVICE02/06/2025-
1/6/2025 12:00:00 AMStandard8DPZA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/06/2025-
1/6/2025 12:00:00 AMStandard8DPZA0091Class 3TRAINING - DOCUMENTATION & MONITORING02/06/2025-
1/6/2025 12:00:00 AMStandard8DPZAE210Class 3ECC - TRAINING02/06/2025-
5/3/2023 12:00:00 AMMonitor7MUJNoneNoneNoneNoneNone
2/23/2023 12:00:00 AMMonitorE3T1NoneNoneNoneNoneNone
3/17/2022 12:00:00 AMStandardUMQTA0025Class 3RESIDENT CARE - SUPERVISION05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTA0078Class 3STAFFING STANDARDS - STAFF05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTA0081Class 3TRAINING - STAFF IN-SERVICE05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTA0082Class 3TRAINING - HIV/AIDS05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTA0086Class 3TRAINING - ADRD05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTA0091Class 3TRAINING - DOCUMENTATION & MONITORING05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTAE204Class 3ECC - ADMISSIONS & CONTINUED RESIDENCY05/10/2022-
3/17/2022 12:00:00 AMStandardUMQTAE210Class 3ECC - TRAINING05/10/2022-
2/15/2021 12:00:00 AMMonitorQ88INoneNoneNoneNoneNone
1/22/2019 12:00:00 AMStandardS2C2A0078Class 3STAFFING STANDARDS - STAFF04/09/2019-
1/22/2019 12:00:00 AMStandardS2C2A0081Class 4TRAINING - STAFF IN-SERVICE04/09/2019-
1/22/2019 12:00:00 AMStandardS2C2A0091Class 3TRAINING - DOCUMENTATION & MONITORING04/09/2019-
1/22/2019 12:00:00 AMStandardS2C2CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE04/09/2019-
8/21/2018 12:00:00 AMMonitorEZJVAE205Class 3ECC - HEALTH ASSESSMENT09/12/2018-
3/20/2018 12:00:00 AMMonitorPIV4NoneNoneNoneNoneNone
7/31/2017 12:00:00 AMMonitorUBTONoneNoneNoneNoneNone
3/2/2017 12:00:00 AMStandardCDMSNoneNoneNoneNoneNone
8/30/2016 12:00:00 AMExpansionQVIVNoneNoneNoneNoneNone
7/5/2016 12:00:00 AMMonitorV0BJNoneNoneNoneNoneNone
5/2/2016 12:00:00 AMComplaint0HFDNoneNoneNoneNoneNone
4/11/2016 12:00:00 AMComplaint1593NoneNoneNoneNoneNone
1/13/2016 12:00:00 AMMonitorSRR6NoneNoneNoneNoneNone
8/17/2015 12:00:00 AMMonitor18PBNoneNoneNoneNoneNone
6/2/2015 12:00:00 AMMonitor113TNoneNoneNoneNoneNone
3/24/2015 12:00:00 AMStandardJP1PNoneNoneNoneNoneNone
3/24/2015 12:00:00 AMComplaintXD2EA0031Class 3RESIDENT CARE - THIRD PARTY SERVICES05/11/2015-
10/14/2014 12:00:00 AMMonitorO2DVNoneNoneNoneNoneNone
7/15/2014 12:00:00 AMMonitorKSZBNoneNoneNoneNoneNone
5/29/2014 12:00:00 AMMonitorXPQPNoneNoneNoneNoneNone
2/17/2014 12:00:00 AMMonitorHD7NNoneNoneNoneNoneNone
10/16/2013 12:00:00 AMMonitorM8BHNoneNoneNoneNoneNone
4/16/2013 12:00:00 AMStandardPWMUNoneNoneNoneNoneNone
10/18/2012 12:00:00 AMMonitorMOZBNoneNoneNoneNoneNone
7/5/2012 12:00:00 AMMonitorHB1QNoneNoneNoneNoneNone