Inspection Details

Survey Date	Inspection Type	Track ID	Deficiency	Class	Requirement Description	Correction Date	Requirement Long Description
10/24/2025 12:00:00 AM	Complaint	NYOP	A0008	Class 3	ADMISSIONS - HEALTH ASSESSMENT	-	-
10/24/2025 12:00:00 AM	Complaint	NYOP	A0010	Class 3	ADMISSIONS - CONTINUED RESIDENCY	-	-
10/24/2025 12:00:00 AM	Complaint	NYOP	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	-	-
10/24/2025 12:00:00 AM	Complaint	NYOP	A0162	Class 3	RECORDS - RESIDENT	-	-
10/24/2025 12:00:00 AM	Complaint	NYOP	ZZ821	Unclassified	REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION	-	-
9/17/2025 12:00:00 AM	Complaint	TODB	A0077	Class 3	STAFFING STANDARDS - ADMINISTRATORS	-	-
9/17/2025 12:00:00 AM	Complaint	TODB	A0161	Class 3	RECORDS - STAFF	-	-
9/4/2025 12:00:00 AM	Complaint	MZCP	ZZ814	Class 3	BACKGROUND SCREENING CLEARINGHOUSE	-	-
7/10/2025 12:00:00 AM	Complaint	MZCP	A0025	2	RESIDENT CARE - SUPERVISION	09/04/2025	-
7/10/2025 12:00:00 AM	Complaint	MZCP	ZZ821	Class 3	REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION	-	-
6/13/2025 12:00:00 AM	Complaint	TODB	A0008	Class 3	ADMISSIONS - HEALTH ASSESSMENT	09/17/2025	-
6/13/2025 12:00:00 AM	Complaint	TODB	A0025	Class 3	RESIDENT CARE - SUPERVISION	09/17/2025	-
6/13/2025 12:00:00 AM	Complaint	TODB	A0056	Class 3	MEDICATION - LABELING AND ORDERS	09/17/2025	-
6/13/2025 12:00:00 AM	Complaint	TODB	A0093	Class 3	FOOD SERVICE - DIETARY STANDARDS	09/17/2025	-
6/13/2025 12:00:00 AM	Complaint	TODB	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	09/17/2025	-
6/13/2025 12:00:00 AM	Complaint	TODB	A0162	Class 3	RECORDS - RESIDENT	09/17/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0010	Class 3	ADMISSIONS - CONTINUED RESIDENCY	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0031	Class 3	RESIDENT CARE - THIRD PARTY SERVICES	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0032	Class 3	RESIDENT CARE - ELOPEMENT STANDARDS	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0034	Class 3	ASSISTIVE DEVICES	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0054	Class 3	MEDICATION - RECORDS	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0056	Class 3	MEDICATION - LABELING AND ORDERS	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0077	Class 3	STAFFING STANDARDS - ADMINISTRATORS	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0078	Class 3	STAFFING STANDARDS - STAFF	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0081	Class 3	TRAINING - STAFF IN-SERVICE	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0084	Class 3	TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0090	Class 3	TRAINING - DO NOT RESUSCITATE ORDERS	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	A0161	Class 3	RECORDS - STAFF	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	CZ814	Unclassified	BACKGROUND SCREENING CLEARINGHOUSE	03/05/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	CZ815	Unclassified	BACKGROUND SCREENING; PROHIBITED OFFENSES	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	CZ816	Unclassified	BACKGROUND SCREENING-COMPLIANCE ATTESTATION	01/27/2025	-
12/2/2024 12:00:00 AM	Standard	VPEH	CZ875	Class 3	ALZHEIMER DISEASE/DEMENTIA; TRAINING	01/27/2025	-
11/7/2024 12:00:00 AM	Complaint	DXH5	A0160	Class 3	RECORDS - FACILITY	12/17/2024	-
7/22/2024 12:00:00 AM	Complaint	PP5E	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	09/23/2024	-
10/12/2023 12:00:00 AM	Complaint	1SB3	A0032	Class 3	RESIDENT CARE - ELOPEMENT STANDARDS	01/16/2024	-
10/12/2023 12:00:00 AM	Complaint	1SB3	A0056	Class 3	MEDICATION - LABELING AND ORDERS	01/16/2024	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0010	Class 3	ADMISSIONS - CONTINUED RESIDENCY	10/12/2023	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0025	2	RESIDENT CARE - SUPERVISION	10/12/2023	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0030	2	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	10/12/2023	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0052	Class 3	MEDICATION - ASSISTANCE WITH SELF-ADMIN	01/09/2024	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0055	Class 3	MEDICATION - STORAGE AND DISPOSAL	03/21/2024	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0078	Class 3	STAFFING STANDARDS - STAFF	10/12/2023	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0082	Class 3	TRAINING - HIV/AIDS	10/12/2023	-
8/3/2023 12:00:00 AM	Complaint	QYLP	A0161	Class 3	RECORDS - STAFF	10/12/2023	-
8/3/2023 12:00:00 AM	Complaint	QYLP	CZ816	Unclassified	BACKGROUND SCREENING-COMPLIANCE ATTESTATION	10/12/2023	-
5/4/2023 12:00:00 AM	Complaint	UGJV	A0008	Class 3	ADMISSIONS - HEALTH ASSESSMENT	08/03/2023	-
5/4/2023 12:00:00 AM	Complaint	UGJV	A0081	Class 3	TRAINING - STAFF IN-SERVICE	10/12/2023	-
5/4/2023 12:00:00 AM	Complaint	UGJV	A0086	Class 3	TRAINING - ADRD	10/12/2023	-
5/4/2023 12:00:00 AM	Complaint	UGJV	A0093	Class 3	FOOD SERVICE - DIETARY STANDARDS	08/03/2023	-
5/4/2023 12:00:00 AM	Complaint	UGJV	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	01/09/2024	-
5/4/2023 12:00:00 AM	Complaint	UGJV	A0160	Class 3	RECORDS - FACILITY	03/21/2024	-
5/4/2023 12:00:00 AM	Complaint	UGJV	CZ815	Unclassified	BACKGROUND SCREENING; PROHIBITED OFFENSES	08/03/2023	-
12/22/2022 12:00:00 AM	Standard	2V30	A0030	1	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	05/04/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0025	Class 3	RESIDENT CARE - SUPERVISION	02/01/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0032	Class 3	RESIDENT CARE - ELOPEMENT STANDARDS	01/06/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0054	Class 3	MEDICATION - RECORDS	01/06/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0056	Class 3	MEDICATION - LABELING AND ORDERS	02/23/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0081	Class 3	TRAINING - STAFF IN-SERVICE	02/06/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0082	Class 3	TRAINING - HIV/AIDS	02/06/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0090	Class 3	TRAINING - DO NOT RESUSCITATE ORDERS	02/06/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	03/15/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	AE207	Class 3	ECC - SERVICES	01/25/2023	-
12/8/2022 12:00:00 AM	Complaint	LXX4	CZ841	Class 3	IN-PERSON VISITATION	12/08/2022	-
6/21/2022 12:00:00 AM	Complaint	BY2T	A0056	Class 3	MEDICATION - LABELING AND ORDERS	08/01/2022	-
6/21/2022 12:00:00 AM	Complaint	BY2T	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	08/01/2022	-
12/15/2020 12:00:00 AM	Complaint	E2T6	A0025	Class 3	RESIDENT CARE - SUPERVISION	02/17/2021	-
12/15/2020 12:00:00 AM	Complaint	E2T6	A0055	Class 3	MEDICATION - STORAGE AND DISPOSAL	02/17/2021	-
12/15/2020 12:00:00 AM	Standard	TB4B	A0056	Class 3	MEDICATION - LABELING AND ORDERS	02/17/2021	-
12/15/2020 12:00:00 AM	Standard	TB4B	A0081	Class 3	TRAINING - STAFF IN-SERVICE	02/17/2021	-
12/15/2020 12:00:00 AM	Standard	TB4B	A0082	Class 3	TRAINING - HIV/AIDS	02/17/2021	-
12/15/2020 12:00:00 AM	Standard	TB4B	A0090	Class 3	TRAINING - DO NOT RESUSCITATE ORDERS	02/17/2021	-
10/17/2019 12:00:00 AM	Expansion	87MM	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	12/26/2019	-
10/17/2019 12:00:00 AM	Expansion	87MM	A0086	Class 3	TRAINING - ADRD	12/26/2019	-
10/17/2019 12:00:00 AM	Expansion	87MM	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	12/26/2019	-
10/17/2019 12:00:00 AM	Expansion	87MM	A0165	Class 3	RISK MGMT & QA; ADVERSE INCIDENT REPORT	12/26/2019	-
5/15/2019 12:00:00 AM	Monitor	6UGQ	A0077	Class 3	STAFFING STANDARDS - ADMINISTRATORS	07/02/2019	-
3/19/2019 12:00:00 AM	Complaint	DGCB	None	None	None	None	None
2/27/2019 12:00:00 AM	Monitor	6UGQ	A0025	2	RESIDENT CARE - SUPERVISION	05/15/2019	-
2/27/2019 12:00:00 AM	Monitor	6UGQ	A0078	Class 3	STAFFING STANDARDS - STAFF	05/15/2019	-
2/27/2019 12:00:00 AM	Monitor	6UGQ	A0081	Class 3	TRAINING - STAFF IN-SERVICE	07/02/2019	-
2/27/2019 12:00:00 AM	Monitor	6UGQ	A0086	Class 3	TRAINING - ADRD	07/02/2019	-
2/27/2019 12:00:00 AM	Monitor	6UGQ	AN278	Class 3	LNS - RECORDS	05/15/2019	-
2/27/2019 12:00:00 AM	Monitor	6UGQ	CZ816	Class 4	BACKGROUND SCREENING-COMPLIANCE ATTESTATION	05/15/2019	-
11/14/2018 12:00:00 AM	Complaint	UWN0	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	01/31/2019	-
11/14/2018 12:00:00 AM	Complaint	UWN0	A0200	Class 3	EMERGENCY ENVIRONMENTAL CONTROL	01/31/2019	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0008	Class 3	ADMISSIONS - HEALTH ASSESSMENT	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0010	Class 3	ADMISSIONS - CONTINUED RESIDENCY	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0025	Class 3	RESIDENT CARE - SUPERVISION	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0052	Class 3	MEDICATION - ASSISTANCE WITH SELF-ADMIN	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0056	Class 3	MEDICATION - LABELING AND ORDERS	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0078	Class 3	STAFFING STANDARDS - STAFF	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0081	Class 3	TRAINING - STAFF IN-SERVICE	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0091	Class 3	TRAINING - DOCUMENTATION & MONITORING	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	A0167	Class 4	RESIDENT CONTRACTS	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	AN277	Class 3	LNS - RESIDENT CARE STANDARDS	10/31/2018	-
8/14/2018 12:00:00 AM	Standard	JJNB	CZ813	Class 4	RESULTS OF SCREENING & NOTIFICATION IN FILE	10/31/2018	-
12/18/2017 12:00:00 AM	Complaint	I238	A0182	Class 3	EMERGENCY MGMT - PLAN IMPLEMENTATION	01/19/2018	-
11/6/2017 12:00:00 AM	Monitor	T52S	A0078	Class 3	STAFFING STANDARDS - STAFF	12/18/2017	-
11/6/2017 12:00:00 AM	Monitor	T52S	A0081	Class 3	TRAINING - STAFF IN-SERVICE	12/18/2017	-
11/6/2017 12:00:00 AM	Monitor	T52S	A0084	Class 3	TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT	12/18/2017	-
11/6/2017 12:00:00 AM	Monitor	T52S	A0086	Class 3	TRAINING - ADRD	12/21/2017	-
11/6/2017 12:00:00 AM	Monitor	T52S	A0090	Class 3	TRAINING - DO NOT RESUSCITATE ORDERS	12/18/2017	-
11/6/2017 12:00:00 AM	Monitor	T52S	A0091	Class 4	TRAINING - DOCUMENTATION & MONITORING	12/18/2017	-
11/6/2017 12:00:00 AM	Monitor	T52S	A0161	Class 4	RECORDS - STAFF	12/18/2017	-
9/12/2016 12:00:00 AM	Standard	USNX	A0025	Class 3	RESIDENT CARE - SUPERVISION	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0052	Class 3	MEDICATION - ASSISTANCE WITH SELF-ADMIN	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0054	Class 3	MEDICATION - RECORDS	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0078	Class 3	STAFFING STANDARDS - STAFF	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0081	Class 3	TRAINING - STAFF IN-SERVICE	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0084	Class 3	TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0086	Class 3	TRAINING - ADRD	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0091	Class 3	TRAINING - DOCUMENTATION & MONITORING	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	A0167	Class 4	RESIDENT CONTRACTS	12/21/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	AZ814	Class 4	BACKGROUND SCREENING CLEARINGHOUSE	11/01/2016	-
9/12/2016 12:00:00 AM	Standard	USNX	AZ815	Class 4	BACKGROUND SCREENING; PROHIBITED OFFENSES	11/01/2016	-
8/31/2015 12:00:00 AM	Complaint	P4DP	A0008	Class 3	ADMISSIONS - HEALTH ASSESSMENT	03/29/2016	-
8/31/2015 12:00:00 AM	Complaint	P4DP	A0025	2	RESIDENT CARE - SUPERVISION	02/03/2016	-
8/31/2015 12:00:00 AM	Complaint	P4DP	A0078	Class 3	STAFFING STANDARDS - STAFF	02/03/2016	-
8/31/2015 12:00:00 AM	Complaint	P4DP	A0165	Class 3	RISK MGMT & QA; ADVERSE INCIDENT REPORT	03/29/2016	-
8/31/2015 12:00:00 AM	Complaint	P4DP	AN277	Class 3	LNS - RESIDENT CARE STANDARDS	02/03/2016	-
8/31/2015 12:00:00 AM	Complaint	P4DP	AN278	Class 3	LNS - RECORDS	02/03/2016	-
8/31/2015 12:00:00 AM	Complaint	U6NN	A0030	Class 3	RESIDENT CARE - RIGHTS & FACILITY PROCEDURES	01/04/2016	-
8/31/2015 12:00:00 AM	Complaint	U6NN	A0160	Class 3	RECORDS - FACILITY	01/04/2016	-
7/21/2015 12:00:00 AM	Complaint	H81Y	None	None	None	None	None
9/15/2014 12:00:00 AM	Complaint	JGSN	A0152	Class 3	PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER	11/10/2014	-
9/15/2014 12:00:00 AM	Standard	XFHX	A0078	Class 3	STAFFING STANDARDS - STAFF	11/24/2014	-
6/2/2014 12:00:00 AM	Complaint	N0TQ	A0032	Class 3	RESIDENT CARE - ELOPEMENT STANDARDS	07/24/2014	-
2/7/2013 12:00:00 AM	Expansion	MRLZ	None	None	None	None	None
8/27/2012 12:00:00 AM	Standard	SZ9S	None	None	None	None	None