| Survey Date | Inspection Type | Track ID | Deficiency | Class | Requirement Description | Correction Date | Requirement Long Description |
|---|
| 11/14/2023 12:00:00 AM | Standard | E1JC | None | None | None | None | None |
| 6/22/2023 12:00:00 AM | Complaint | 3VKW | None | None | None | None | None |
| 8/8/2022 12:00:00 AM | Complaint | I0MF | None | None | None | None | None |
| 3/24/2022 12:00:00 AM | Standard | IDYN | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | A0162 | Class 3 | RECORDS - RESIDENT | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | A0165 | Class 3 | RISK MGMT & QA | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | A0167 | Class 3 | RESIDENT CONTRACTS | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | CZ814 | Unclassified | BACKGROUND SCREENING CLEARINGHOUSE | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | CZ816 | Unclassified | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 05/10/2022 | - |
| 3/24/2022 12:00:00 AM | Standard | IDYN | CZ830 | Unclassified | EMERGENCY MANAGEMENT PLANNING | 05/10/2022 | - |
| 3/17/2021 12:00:00 AM | Complaint | 02TM | None | None | None | None | None |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0053 | Class 3 | MEDICATION - ADMINISTRATION | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0077 | Class 3 | STAFFING STANDARDS - ADMINISTRATORS | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0082 | Class 3 | TRAINING - HIV/AIDS | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0160 | Class 3 | RECORDS - FACILITY | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0161 | Class 3 | RECORDS - STAFF | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | A0162 | Class 3 | RECORDS - RESIDENT | 01/05/2021 | - |
| 11/10/2020 12:00:00 AM | Standard | NO1Q | CZ816 | Unclassified | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 01/05/2021 | - |
| 8/5/2020 12:00:00 AM | - | ZY91 | None | None | None | None | None |
| 1/8/2020 12:00:00 AM | Complaint | 0USC | None | None | None | None | None |
| 10/29/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0058 | Class 3 | PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | 01/08/2020 | - |
| 8/6/2019 12:00:00 AM | Complaint | 8EC2 | A0025 | Class 3 | RESIDENT CARE - SUPERVISION | 10/29/2019 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 10/29/2019 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 01/08/2020 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 01/08/2020 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 01/08/2020 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0083 | Class 3 | TRAINING - FIRST AID AND CPR | 01/08/2020 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0093 | Class 3 | FOOD SERVICE - DIETARY STANDARDS | 10/29/2019 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0181 | Class 3 | EMERGENCY PLAN APPROVAL | 08/05/2020 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | A0200 | Class 3 | EMERGENCY ENVIRONMENTAL CONTROL | 10/29/2019 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | CZ813 | Class 4 | RESULTS OF SCREENING & NOTIFICATION IN FILE | 10/29/2019 | - |
| 8/6/2019 12:00:00 AM | Change of Ownership | Y9W9 | CZ816 | Class 4 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 10/29/2019 | - |
| 1/24/2019 12:00:00 AM | Complaint | 3FUP | None | None | None | None | None |
| 8/6/2018 12:00:00 AM | Complaint | 8O23 | None | None | None | None | None |
| 6/8/2018 12:00:00 AM | Complaint | 9HYT | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 08/06/2018 | - |
| 6/8/2018 12:00:00 AM | Complaint | UY2B | A0084 | Class 3 | TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 08/06/2018 | - |
| 6/8/2018 12:00:00 AM | Complaint | UY2B | A0165 | Class 3 | RISK MGMT & QA; ADVERSE INCIDENT REPORT | 08/06/2018 | - |
| 1/31/2018 12:00:00 AM | Complaint | UY2B | A0058 | Class 3 | PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | 08/06/2018 | - |
| 1/31/2018 12:00:00 AM | Standard | XRGE | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 04/05/2018 | - |
| 12/13/2017 12:00:00 AM | Complaint | UY2B | A0054 | Class 3 | MEDICATION - RECORDS | 04/05/2018 | - |
| 12/13/2017 12:00:00 AM | Complaint | UY2B | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 08/06/2018 | - |
| 12/13/2017 12:00:00 AM | Complaint | UY2B | CZ816 | Class 3 | BACKGROUND SCREENING-COMPLIANCE ATTESTATION | 01/31/2018 | - |
| 9/29/2017 12:00:00 AM | Complaint | 72A4 | None | None | None | None | None |
| 3/30/2017 12:00:00 AM | Complaint | OOI0 | A0056 | Class 3 | MEDICATION - LABELING AND ORDERS | 05/15/2017 | - |
| 2/8/2017 12:00:00 AM | Complaint | OOI0 | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 05/15/2017 | - |
| 2/8/2017 12:00:00 AM | Complaint | OOI0 | A0058 | Class 3 | PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | 05/15/2017 | - |
| 12/27/2016 12:00:00 AM | Complaint | OOI0 | A0030 | Class 3 | RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 02/08/2017 | - |
| 12/27/2016 12:00:00 AM | Complaint | OOI0 | A0054 | Class 3 | MEDICATION - RECORDS | 05/15/2017 | - |
| 11/16/2016 12:00:00 AM | Complaint | IUSF | None | None | None | None | None |
| 3/18/2016 12:00:00 AM | Standard | JM40 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 05/03/2016 | - |
| 3/18/2016 12:00:00 AM | Standard | JM40 | A0081 | Class 3 | TRAINING - STAFF IN-SERVICE | 05/03/2016 | - |
| 3/18/2016 12:00:00 AM | Standard | JM40 | A0082 | Class 3 | TRAINING - HIV/AIDS | 05/03/2016 | - |
| 3/18/2016 12:00:00 AM | Standard | JM40 | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 05/03/2016 | - |
| 3/18/2016 12:00:00 AM | Standard | JM40 | A0093 | Class 3 | FOOD SERVICE - DIETARY STANDARDS | 05/03/2016 | - |
| 3/18/2016 12:00:00 AM | Standard | JM40 | A0167 | Class 3 | RESIDENT CONTRACTS | 05/03/2016 | - |
| 3/18/2016 12:00:00 AM | Standard | JM40 | AE208 | Class 3 | ECC - RECORDS | 05/03/2016 | - |
| 12/9/2015 12:00:00 AM | Complaint | F0E7 | A0010 | Class 3 | ADMISSIONS - CONTINUED RESIDENCY | 01/27/2016 | - |
| 4/21/2015 12:00:00 AM | Complaint | EQ6C | None | None | None | None | None |
| 1/9/2015 12:00:00 AM | Complaint | CCQ6 | None | None | None | None | None |
| 7/24/2014 12:00:00 AM | Complaint | LG83 | None | None | None | None | None |
| 4/7/2014 12:00:00 AM | Standard | CRMT | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 04/30/2014 | - |
| 4/7/2014 12:00:00 AM | Standard | CRMT | A0091 | Class 3 | TRAINING - DOCUMENTATION & MONITORING | 04/30/2014 | - |
| 4/7/2014 12:00:00 AM | Standard | CRMT | AE210 | Class 3 | ECC - TRAINING | 04/30/2014 | - |
| 11/12/2013 12:00:00 AM | Monitor | QMCT | None | None | None | None | None |
| 11/12/2013 12:00:00 AM | Complaint | YKVU | None | None | None | None | None |
| 8/20/2013 12:00:00 AM | Complaint | ZZ75 | None | None | None | None | None |
| 5/31/2013 12:00:00 AM | Monitor | 757N | None | None | None | None | None |
| 1/30/2013 12:00:00 AM | Monitor | NEJ2 | A0078 | Class 3 | STAFFING STANDARDS - STAFF | 03/12/2013 | - |
| 1/4/2013 12:00:00 AM | Complaint | W7R9 | None | None | None | None | None |
| 8/30/2012 12:00:00 AM | Monitor | 1V9H | A0007 | Class 3 | ADMISSIONS - CRITERIA | 10/15/2012 | - |
| 8/30/2012 12:00:00 AM | Monitor | 1V9H | A0090 | Class 3 | TRAINING - DO NOT RESUSCITATE ORDERS | 10/15/2012 | - |
| 8/30/2012 12:00:00 AM | Monitor | 1V9H | AE210 | Class 3 | ECC - TRAINING | 10/15/2012 | - |
| 8/30/2012 12:00:00 AM | Complaint | 6FNV | A0052 | Class 3 | MEDICATION - ASSISTANCE WITH SELF-ADMIN | 10/25/2012 | - |