Inspection Details

Facility ID: 11965814 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/9/2025 12:00:00 AMComplaintG7LPA0054Class 3MEDICATION - RECORDS11/03/2025-
9/9/2025 12:00:00 AMComplaintG7LPA0055Class 3MEDICATION - STORAGE AND DISPOSAL--
9/9/2025 12:00:00 AMComplaintG7LPA0056Class 3MEDICATION - LABELING AND ORDERS11/03/2025-
9/9/2025 12:00:00 AMComplaintG7LPZZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING--
6/17/2025 12:00:00 AMComplaintPZ36A0081Class 3TRAINING - STAFF IN-SERVICE--
6/17/2025 12:00:00 AMComplaintPZ36A0180Class 3EMERGENCY MANAGEMENT09/09/2025-
3/7/2025 12:00:00 AMComplaintSP6ENoneNoneNoneNoneNone
5/23/2024 12:00:00 AMComplaintBNT5A0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER07/16/2024-
5/23/2024 12:00:00 AMComplaintBNT5A0161Class 3RECORDS - STAFF07/16/2024-
5/23/2024 12:00:00 AMComplaintBNT5CZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING07/16/2024-
2/14/2024 12:00:00 AMComplaintS12YA0055Class 3MEDICATION - STORAGE AND DISPOSAL04/04/2024-
10/10/2023 12:00:00 AMStandardL0SHA0078Class 3STAFFING STANDARDS - STAFF11/21/2023-
10/10/2023 12:00:00 AMStandardL0SHA0081Class 3TRAINING - STAFF IN-SERVICE11/21/2023-
10/10/2023 12:00:00 AMStandardL0SHA0082Class 3TRAINING - HIV/AIDS11/21/2023-
10/10/2023 12:00:00 AMStandardL0SHA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT11/21/2023-
10/10/2023 12:00:00 AMStandardL0SHA0086Class 3TRAINING - ADRD11/21/2023-
10/10/2023 12:00:00 AMStandardL0SHA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS11/21/2023-
8/23/2023 12:00:00 AMComplaintHHX9NoneNoneNoneNoneNone
6/14/2023 12:00:00 AMComplaint410QNoneNoneNoneNoneNone
4/19/2023 12:00:00 AMComplaint1RHNA0034Class 3ASSISTIVE DEVICES06/14/2023-
4/19/2023 12:00:00 AMComplaint1RHNA0081Class 3TRAINING - STAFF IN-SERVICE06/14/2023-
4/19/2023 12:00:00 AMComplaint1RHNA0086Class 3TRAINING - ADRD06/14/2023-
4/19/2023 12:00:00 AMComplaint1RHNA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS06/14/2023-
1/11/2023 12:00:00 AMComplaint3WC2A0165Class 3RISK MGMT & QA03/07/2023-
6/15/2022 12:00:00 AMComplaint614DCZ830Class 3EMERGENCY MANAGEMENT PLANNING07/27/2022-
10/25/2021 12:00:00 AMStandard1BTRA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0055Class 3MEDICATION - STORAGE AND DISPOSAL12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0056Class 3MEDICATION - LABELING AND ORDERS12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0078Class 3STAFFING STANDARDS - STAFF12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0081Class 3TRAINING - STAFF IN-SERVICE12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0082Class 3TRAINING - HIV/AIDS12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0086Class 3TRAINING - ADRD12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRA0161Class 3RECORDS - STAFF12/03/2021-
10/25/2021 12:00:00 AMStandard1BTRCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE12/03/2021-
6/23/2021 12:00:00 AMExpansionXJ00NoneNoneNoneNoneNone
5/26/2021 12:00:00 AM-EBW2NoneNoneNoneNoneNone
1/30/2020 12:00:00 AMMonitor0QCEA0078Class 3STAFFING STANDARDS - STAFF03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCEA0081Class 3TRAINING - STAFF IN-SERVICE03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCEA0082Class 3TRAINING - HIV/AIDS03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCEA0083Class 3TRAINING - FIRST AID AND CPR03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCEA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCEA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCEA0161Class 3RECORDS - STAFF03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCECZ815Class 4BACKGROUND SCREENING; PROHIBITED OFFENSES03/19/2020-
1/30/2020 12:00:00 AMMonitor0QCECZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION03/19/2020-
6/27/2019 12:00:00 AMStandard6VUCA0078Class 3STAFFING STANDARDS - STAFF08/19/2019-
6/27/2019 12:00:00 AMStandard6VUCA0082Class 3TRAINING - HIV/AIDS08/19/2019-
6/21/2018 12:00:00 AMComplaintWQ82A0008Class 3ADMISSIONS - HEALTH ASSESSMENT08/08/2018-
5/24/2017 12:00:00 AMStandardSXPZA0010Class 3ADMISSIONS - CONTINUED RESIDENCY07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZA0055Class 3MEDICATION - STORAGE AND DISPOSAL07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZA0078Class 3STAFFING STANDARDS - STAFF07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZA0081Class 3TRAINING - STAFF IN-SERVICE07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE07/11/2017-
5/24/2017 12:00:00 AMStandardSXPZCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION07/11/2017-
3/2/2017 12:00:00 AMComplaint3DTRA0025Class 3RESIDENT CARE - SUPERVISION04/27/2017-
10/6/2016 12:00:00 AMComplaint91F8NoneNoneNoneNoneNone
7/29/2016 12:00:00 AMComplaint87DDNoneNoneNoneNoneNone
9/24/2015 12:00:00 AMComplaintEOPLNoneNoneNoneNoneNone
8/11/2015 12:00:00 AMComplaint5F5YA0008Class 3ADMISSIONS - HEALTH ASSESSMENT09/24/2015-
8/11/2015 12:00:00 AMComplaint5F5YA0054Class 3MEDICATION - RECORDS09/24/2015-
5/28/2015 12:00:00 AMStandard7KQ3NoneNoneNoneNoneNone
4/20/2015 12:00:00 AMComplaintOE2BNoneNoneNoneNoneNone
5/1/2014 12:00:00 AMComplaintOHF8NoneNoneNoneNoneNone
1/28/2014 12:00:00 AMExpansionYFDONoneNoneNoneNoneNone
10/9/2013 12:00:00 AMComplaint00DMNoneNoneNoneNoneNone
5/21/2013 12:00:00 AMStandardHMVNA0078Class 3STAFFING STANDARDS - STAFF07/29/2013-
1/29/2013 12:00:00 AMComplaintQPEENoneNoneNoneNoneNone
8/8/2012 12:00:00 AMComplaintGY4QNoneNoneNoneNoneNone