Inspection Details

Facility ID: 11965917 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
8/1/2025 12:00:00 AMComplaint4K59NoneNoneNoneNoneNone
3/14/2025 12:00:00 AMStandardTV5DA0058Class 3PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES07/30/2025-
1/29/2025 12:00:00 AMStandardTV5DA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS03/14/2025-
1/29/2025 12:00:00 AMStandardTV5DA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN03/14/2025-
1/29/2025 12:00:00 AMStandardTV5DA0054Class 3MEDICATION - RECORDS03/14/2025-
1/29/2025 12:00:00 AMStandardTV5DA0056Class 3MEDICATION - LABELING AND ORDERS--
1/29/2025 12:00:00 AMStandardTV5DA0162Class 3RECORDS - RESIDENT03/14/2025-
1/29/2025 12:00:00 AMStandardTV5DCZ830Class 3EMERGENCY MANAGEMENT PLANNING03/14/2025-
8/21/2024 12:00:00 AMMonitorHKYGNoneNoneNoneNoneNone
4/24/2023 12:00:00 AMComplaintXQODNoneNoneNoneNoneNone
3/8/2023 12:00:00 AMStandard63N3A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN04/24/2023-
3/8/2023 12:00:00 AMStandard63N3A0078Class 3STAFFING STANDARDS - STAFF04/24/2023-
3/8/2023 12:00:00 AMStandard63N3A0081Class 3TRAINING - STAFF IN-SERVICE04/24/2023-
3/8/2023 12:00:00 AMStandard63N3A0082Class 3TRAINING - HIV/AIDS04/24/2023-
3/8/2023 12:00:00 AMStandard63N3A0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT04/24/2023-
3/8/2023 12:00:00 AMStandard63N3A0086Class 3TRAINING - ADRD06/14/2023-
3/8/2023 12:00:00 AMStandard63N3A0161Class 3RECORDS - STAFF04/24/2023-
6/16/2022 12:00:00 AMComplaintK1FOA0025Class 3RESIDENT CARE - SUPERVISION08/01/2022-
6/16/2022 12:00:00 AMComplaintK1FOA0086Class 3TRAINING - ADRD08/01/2022-
6/16/2022 12:00:00 AMComplaintK1FOA0162Class 3RECORDS - RESIDENT08/01/2022-
2/9/2022 12:00:00 AMComplaintMDD8A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL03/22/2022-
3/25/2021 12:00:00 AMStandardDRS9A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/03/2021-
3/25/2021 12:00:00 AMStandardDRS9A0055Class 3MEDICATION - STORAGE AND DISPOSAL05/03/2021-
1/27/2021 12:00:00 AMComplaint2PM6NoneNoneNoneNoneNone
7/29/2019 12:00:00 AMChange of OwnershipKWB7NoneNoneNoneNoneNone
8/15/2018 12:00:00 AMStandard33TPCZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION09/24/2018-
8/12/2016 12:00:00 AMStandardZPXVNoneNoneNoneNoneNone
10/29/2014 12:00:00 AMComplaint2GOENoneNoneNoneNoneNone
8/13/2014 12:00:00 AMStandardKX1DNoneNoneNoneNoneNone
1/16/2013 12:00:00 AMChange of OwnershipPX0MNoneNoneNoneNoneNone