Inspection Details

Facility ID: 11965339 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
10/1/2024 12:00:00 AMStandardPT77A0028Class 3RESIDENT CARE - ACTIVITIES OF DAILY LIVING02/10/2025-
10/1/2024 12:00:00 AMStandardPT77A0083Class 3TRAINING - FIRST AID AND CPR02/10/2025-
10/1/2024 12:00:00 AMStandardPT77A0170Class 3RESIDENT REFUND POLICY02/10/2025-
10/1/2024 12:00:00 AMStandardPT77CZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING02/10/2025-
6/28/2023 12:00:00 AMComplaintSHVPA0081Class 4TRAINING - STAFF IN-SERVICE07/17/2023-
12/29/2022 12:00:00 AMComplaintLGZ9NoneNoneNoneNoneNone
10/3/2022 12:00:00 AMMonitorLEUENoneNoneNoneNoneNone
6/8/2022 12:00:00 AMStandardGJ1HA0078Class 3STAFFING STANDARDS - STAFF07/07/2022-
6/8/2022 12:00:00 AMStandardGJ1HA0080Class 3TRAINING - CORE & COMPETENCY TEST07/07/2022-
6/8/2022 12:00:00 AMStandardGJ1HA0082Class 3TRAINING - HIV/AIDS07/07/2022-
6/8/2022 12:00:00 AMStandardGJ1HCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE07/07/2022-
6/8/2022 12:00:00 AMStandardGJ1HCZ816UnclassifiedBACKGROUND SCREENING-COMPLIANCE ATTESTATION07/07/2022-
4/23/2021 12:00:00 AMComplaintE1MFA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS06/25/2021-
7/28/2020 12:00:00 AMComplaint9C2TNoneNoneNoneNoneNone
6/19/2020 12:00:00 AMComplaintT36GCZ830Class 4EMERGENCY MANAGEMENT PLANNING10/06/2020-
5/15/2020 12:00:00 AM-XXIQNoneNoneNoneNoneNone
12/26/2019 12:00:00 AMStandardQX8TA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN01/31/2020-
1/24/2018 12:00:00 AMStandardM2FPA0093Class 3FOOD SERVICE - DIETARY STANDARDS04/20/2018-
10/22/2015 12:00:00 AMStandard0G3DA0056Class 3MEDICATION - LABELING AND ORDERS12/16/2015-
3/19/2015 12:00:00 AMComplaintR505NoneNoneNoneNoneNone
1/9/2014 12:00:00 AMStandard3JM2NoneNoneNoneNoneNone