Inspection Details

Facility ID: 11966524 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
6/27/2024 12:00:00 AMStandardOYFWNoneNoneNoneNoneNone
11/20/2023 12:00:00 AMComplaintI5DVNoneNoneNoneNoneNone
8/28/2023 12:00:00 AMMonitor9RCXNoneNoneNoneNoneNone
9/27/2022 12:00:00 AMMonitorHV8ONoneNoneNoneNoneNone
2/9/2022 12:00:00 AMStandardO7F7A0093Class 3FOOD SERVICE - DIETARY STANDARDS03/24/2022-
8/18/2021 12:00:00 AMComplaint8ZGRNoneNoneNoneNoneNone
12/2/2020 12:00:00 AMComplaintELBEA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES04/08/2021-
12/2/2020 12:00:00 AMComplaintELBEA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS04/08/2021-
9/1/2020 12:00:00 AMMonitorP19WA0181Class 3EMERGENCY PLAN APPROVAL04/08/2021-
9/24/2019 12:00:00 AMStandardJZV6A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS12/04/2019-
9/24/2019 12:00:00 AMStandardJZV6A0078Class 3STAFFING STANDARDS - STAFF12/04/2019-
9/24/2019 12:00:00 AMStandardJZV6A0168Class 3RESIDENT REFUND POLICY12/04/2019-
9/24/2019 12:00:00 AMStandardJZV6A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL12/04/2019-
9/24/2019 12:00:00 AMStandardJZV6CZ816Class 4BACKGROUND SCREENING-COMPLIANCE ATTESTATION12/04/2019-
3/15/2018 12:00:00 AMChange of Ownership2CPTNoneNoneNoneNoneNone
9/5/2017 12:00:00 AMComplaintLN11CZ816Class 3BACKGROUND SCREENING-COMPLIANCE ATTESTATION09/30/2017-
12/6/2016 12:00:00 AMStandardQZCEA0054Class 3MEDICATION - RECORDS02/10/2017-
12/6/2016 12:00:00 AMStandardQZCEA0055Class 3MEDICATION - STORAGE AND DISPOSAL02/10/2017-
12/6/2016 12:00:00 AMStandardQZCEA0078Class 3STAFFING STANDARDS - STAFF02/10/2017-
12/6/2016 12:00:00 AMStandardQZCEA0081Class 3TRAINING - STAFF IN-SERVICE02/10/2017-
12/6/2016 12:00:00 AMStandardQZCEA0082Class 3TRAINING - HIV/AIDS02/10/2017-
12/6/2016 12:00:00 AMStandardQZCEA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS02/10/2017-
12/6/2016 12:00:00 AMStandardQZCEA0162Class 3RECORDS - RESIDENT02/10/2017-
12/6/2016 12:00:00 AMStandardQZCEAZ816Class 3BACKGROUND SCREENING-COMPLIANCE ATTESTATION02/10/2017-
4/4/2016 12:00:00 AMComplaintT4HDNoneNoneNoneNoneNone
9/17/2015 12:00:00 AMComplaint8FUKA0167Class 3RESIDENT CONTRACTS--
8/12/2015 12:00:00 AMComplaintNMUDNoneNoneNoneNoneNone
6/4/2015 12:00:00 AMComplaintFX9KA0054Class 3MEDICATION - RECORDS08/12/2015-
12/30/2014 12:00:00 AMStandardSIWWA0056Class 3MEDICATION - LABELING AND ORDERS02/25/2015-
12/30/2014 12:00:00 AMStandardSIWWA0078Class 3STAFFING STANDARDS - STAFF02/25/2015-
12/30/2014 12:00:00 AMStandardSIWWA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT02/25/2015-
12/30/2014 12:00:00 AMStandardSIWWA0167Class 3RESIDENT CONTRACTS02/25/2015-
3/5/2014 12:00:00 AMComplaintTV20NoneNoneNoneNoneNone
8/9/2013 12:00:00 AMComplaintMIXFA00252RESIDENT CARE - SUPERVISION09/13/2013-
8/9/2013 12:00:00 AMComplaintMIXFA00302RESIDENT CARE - RIGHTS & FACILITY PROCEDURES09/13/2013-
8/9/2013 12:00:00 AMComplaintMIXFA00772STAFFING STANDARDS - ADMINISTRATORS09/13/2013-
2/13/2013 12:00:00 AMStandardMXSGA0010Class 3ADMISSIONS - CONTINUED RESIDENCY03/06/2013-
2/13/2013 12:00:00 AMStandardMXSGA0162Class 3RECORDS - RESIDENT03/06/2013-
2/13/2013 12:00:00 AMComplaintT5IRNoneNoneNoneNoneNone
10/23/2012 12:00:00 AMComplaintD4HFNoneNoneNoneNoneNone
7/25/2012 12:00:00 AMComplaintWK8DA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT09/21/2012-