Inspection Details

Facility ID: 11965265 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
10/13/2025 12:00:00 AMComplaintSMDVNoneNoneNoneNoneNone
7/2/2025 12:00:00 AMComplaintH81LA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/13/2025-
5/30/2025 12:00:00 AMComplaint72OSNoneNoneNoneNoneNone
3/3/2025 12:00:00 AMComplaint0PBUNoneNoneNoneNoneNone
7/15/2024 12:00:00 AMComplaintPXTMNoneNoneNoneNoneNone
3/8/2024 12:00:00 AMStandard6D0MNoneNoneNoneNoneNone
1/5/2024 12:00:00 AMComplaintO7C3A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/08/2024-
1/5/2024 12:00:00 AMComplaintO7C3A0093Class 3FOOD SERVICE - DIETARY STANDARDS03/08/2024-
1/5/2024 12:00:00 AMComplaintO7C3A0160Class 3RECORDS - FACILITY03/08/2024-
1/5/2024 12:00:00 AMComplaintO7C3A0162Class 3RECORDS - RESIDENT03/08/2024-
11/13/2023 12:00:00 AMComplaintKFRPNoneNoneNoneNoneNone
9/7/2023 12:00:00 AMComplaintBDVQNoneNoneNoneNoneNone
7/17/2023 12:00:00 AMComplaintHU1CNoneNoneNoneNoneNone
4/12/2023 12:00:00 AMComplaint71JWA0165Class 3RISK MGMT & QA05/17/2023-
1/30/2023 12:00:00 AMComplaintXNXRA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/15/2023-
9/24/2022 12:00:00 AMMonitorXX2GCZ000-INITIAL COMMENTS--
3/30/2022 12:00:00 AMStandardCMRINoneNoneNoneNoneNone
10/20/2021 12:00:00 AMStandardY90XA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/15/2021-
10/20/2021 12:00:00 AMStandardY90XA0055Class 3MEDICATION - STORAGE AND DISPOSAL12/15/2021-
10/20/2021 12:00:00 AMStandardY90XA0056Class 3MEDICATION - LABELING AND ORDERS12/15/2021-
10/20/2021 12:00:00 AMStandardY90XA0093Class 3FOOD SERVICE - DIETARY STANDARDS12/15/2021-
10/20/2021 12:00:00 AMStandardY90XA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER12/15/2021-
8/9/2021 12:00:00 AMComplaintT3NSNoneNoneNoneNoneNone
2/15/2021 12:00:00 AMComplaintSP4INoneNoneNoneNoneNone
1/16/2021 12:00:00 AMComplaintXSGBA00301RESIDENT CARE - RIGHTS & FACILITY PROCEDURES02/15/2021-
1/16/2021 12:00:00 AMComplaintXSGBA0078Class 3STAFFING STANDARDS - STAFF03/25/2021-
1/16/2021 12:00:00 AMComplaintXSGBA0081Class 3TRAINING - STAFF IN-SERVICE03/25/2021-
1/16/2021 12:00:00 AMComplaintXSGBA0083Class 3TRAINING - FIRST AID AND CPR03/25/2021-
1/16/2021 12:00:00 AMComplaintXSGBA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT03/25/2021-
12/2/2020 12:00:00 AMComplaintPUC2CZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE01/16/2021-
10/5/2020 12:00:00 AMComplaint39BVA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES12/02/2020-
10/5/2020 12:00:00 AMComplaint39BVA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/16/2021-
10/5/2020 12:00:00 AMComplaint39BVCZ815UnclassifiedBACKGROUND SCREENING; PROHIBITED OFFENSES01/16/2021-
5/1/2020 12:00:00 AM-CJ95NoneNoneNoneNoneNone
3/18/2020 12:00:00 AMComplaintGJ8FA0025Class 3RESIDENT CARE - SUPERVISION10/05/2020-
3/18/2020 12:00:00 AMComplaintGJ8FA0055Class 3MEDICATION - STORAGE AND DISPOSAL12/02/2020-
1/18/2020 12:00:00 AMStandardLO2DA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/02/2020-
1/18/2020 12:00:00 AMStandardLO2DA00792STAFFING STANDARDS - LEVELS10/05/2020-
1/18/2020 12:00:00 AMStandardLO2DA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS03/18/2020-
1/18/2020 12:00:00 AMStandardLO2DA0093Class 3FOOD SERVICE - DIETARY STANDARDS10/05/2020-
1/18/2020 12:00:00 AMStandardLO2DA0161Class 3RECORDS - STAFF03/18/2020-
1/18/2020 12:00:00 AMStandardLO2DCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION03/18/2020-
1/13/2020 12:00:00 AMMonitorZK67NoneNoneNoneNoneNone
11/20/2019 12:00:00 AMComplaint42GYA0055Class 3MEDICATION - STORAGE AND DISPOSAL01/18/2020-
11/20/2019 12:00:00 AMComplaintN0TOA0078Class 3STAFFING STANDARDS - STAFF03/18/2020-
11/20/2019 12:00:00 AMComplaintN0TOA0081Class 3TRAINING - STAFF IN-SERVICE03/18/2020-
11/20/2019 12:00:00 AMComplaintN0TOA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT01/18/2020-
11/20/2019 12:00:00 AMComplaintN0TOA0086Class 3TRAINING - ADRD03/18/2020-
11/20/2019 12:00:00 AMComplaintN0TOCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE03/18/2020-
11/20/2019 12:00:00 AMMonitorNT6ZAE210Class 3ECC - TRAINING03/18/2020-
9/11/2019 12:00:00 AMComplaint42GYA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN11/20/2019-
7/29/2019 12:00:00 AMComplaint42GYA00561MEDICATION - LABELING AND ORDERS03/18/2020-
7/29/2019 12:00:00 AMComplaint42GYA00771STAFFING STANDARDS - ADMINISTRATORS09/11/2019-
5/15/2019 12:00:00 AMMonitorWNYIA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL07/03/2019-
2/11/2019 12:00:00 AMComplaintY2LUA0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/03/2019-
2/11/2019 12:00:00 AMComplaintY2LUAE201Class 3ECC - POLICIES04/03/2019-
2/11/2019 12:00:00 AMComplaintY2LUAE203Class 3ECC - STAFFING REQUIREMENTS04/03/2019-
2/11/2019 12:00:00 AMComplaintY2LUAE210Class 3ECC - TRAINING04/03/2019-
11/26/2018 12:00:00 AMComplaintMG93NoneNoneNoneNoneNone
11/1/2018 12:00:00 AMComplaintCR9MNoneNoneNoneNoneNone
2/15/2018 12:00:00 AMStandardJF5UA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/24/2018-
2/15/2018 12:00:00 AMStandardJF5UA0078Class 3STAFFING STANDARDS - STAFF04/24/2018-
2/15/2018 12:00:00 AMStandardJF5UAE210Class 3ECC - TRAINING06/11/2018-
12/13/2017 12:00:00 AMComplaint2IXFA0025Class 3RESIDENT CARE - SUPERVISION02/15/2018-
12/13/2017 12:00:00 AMComplaint2IXFA0160Class 3RECORDS - FACILITY02/15/2018-
12/13/2017 12:00:00 AMComplaint2IXFA0181Class 3EMERGENCY PLAN APPROVAL02/15/2018-
7/7/2017 12:00:00 AMComplaintHBV8NoneNoneNoneNoneNone
4/5/2017 12:00:00 AMComplaintHZFONoneNoneNoneNoneNone
10/17/2016 12:00:00 AMComplaintRDOCNoneNoneNoneNoneNone
2/22/2016 12:00:00 AMStandard6M89A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/01/2016-
2/22/2016 12:00:00 AMStandard6M89A0078Class 3STAFFING STANDARDS - STAFF04/01/2016-
2/22/2016 12:00:00 AMStandard6M89A0081Class 3TRAINING - STAFF IN-SERVICE04/01/2016-
2/22/2016 12:00:00 AMStandard6M89A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS04/01/2016-
2/22/2016 12:00:00 AMStandard6M89A0093Class 3FOOD SERVICE - DIETARY STANDARDS04/01/2016-
2/22/2016 12:00:00 AMStandard6M89AE210Class 3ECC - TRAINING04/01/2016-
1/27/2016 12:00:00 AMComplaint6G6XNoneNoneNoneNoneNone
6/9/2015 12:00:00 AMComplaintFUI8NoneNoneNoneNoneNone
3/12/2015 12:00:00 AMMonitorQW2DNoneNoneNoneNoneNone
12/18/2014 12:00:00 AMMonitor6JOVNoneNoneNoneNoneNone
8/28/2014 12:00:00 AMComplaintQ4Q3NoneNoneNoneNoneNone
6/11/2014 12:00:00 AMMonitorMD5WA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/29/2014-
3/17/2014 12:00:00 AMComplaint3DWMNoneNoneNoneNoneNone
3/17/2014 12:00:00 AMStandard9ZKRNoneNoneNoneNoneNone
1/6/2014 12:00:00 AMMonitor3O1HNoneNoneNoneNoneNone
12/5/2013 12:00:00 AMMonitor9BZ4NoneNoneNoneNoneNone
11/12/2013 12:00:00 AMComplaintTQN7A0010Class 3ADMISSIONS - CONTINUED RESIDENCY12/05/2013-
9/12/2013 12:00:00 AMMonitorF2K5NoneNoneNoneNoneNone
6/22/2013 12:00:00 AMComplaint54WBNoneNoneNoneNoneNone
4/8/2013 12:00:00 AMMonitorCZWONoneNoneNoneNoneNone
1/25/2013 12:00:00 AMMonitor1BT4NoneNoneNoneNoneNone
10/26/2012 12:00:00 AMMonitorMNU0NoneNoneNoneNoneNone
7/26/2012 12:00:00 AMExpansionP94TA0055Class 3MEDICATION - STORAGE AND DISPOSAL09/28/2012-