Inspection Details

Facility ID: 11968261 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/15/2025 12:00:00 AMStandardVWDKA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS10/30/2025-
9/15/2025 12:00:00 AMStandardVWDKA0081Class 3TRAINING - STAFF IN-SERVICE10/30/2025-
9/15/2025 12:00:00 AMStandardVWDKA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT10/30/2025-
9/15/2025 12:00:00 AMStandardVWDKA0161Class 3RECORDS - STAFF10/30/2025-
9/15/2025 12:00:00 AMStandardVWDKZZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING10/30/2025-
12/2/2024 12:00:00 AMMonitorH9DXNoneNoneNoneNoneNone
8/7/2023 12:00:00 AMStandard9QU7A0010Class 3ADMISSIONS - CONTINUED RESIDENCY09/18/2023-
8/7/2023 12:00:00 AMStandard9QU7A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN09/18/2023-
8/7/2023 12:00:00 AMStandard9QU7A0083Class 3TRAINING - FIRST AID AND CPR09/18/2023-
9/22/2021 12:00:00 AMStandardJKD7A0083Class 3TRAINING - FIRST AID AND CPR11/18/2021-
9/22/2021 12:00:00 AMStandardJKD7A0093Class 3FOOD SERVICE - DIETARY STANDARDS11/18/2021-
9/22/2021 12:00:00 AMStandardJKD7A0161Class 3RECORDS - STAFF11/18/2021-
8/25/2020 12:00:00 AMComplaint5GEVNoneNoneNoneNoneNone
6/24/2020 12:00:00 AMComplaintX25WNoneNoneNoneNoneNone
6/10/2020 12:00:00 AMMonitorGX2MNoneNoneNoneNoneNone
4/30/2020 12:00:00 AM-81O4A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/10/2020-
12/12/2019 12:00:00 AMMonitorEFY6A0181Class 3EMERGENCY PLAN APPROVAL02/06/2020-
12/12/2019 12:00:00 AMMonitorEFY6CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE02/06/2020-
3/19/2018 12:00:00 AMStandardSCLEA0010Class 3ADMISSIONS - CONTINUED RESIDENCY05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0025Class 3RESIDENT CARE - SUPERVISION05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0054Class 3MEDICATION - RECORDS05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0078Class 3STAFFING STANDARDS - STAFF05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0093Class 3FOOD SERVICE - DIETARY STANDARDS05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0160Class 3RECORDS - FACILITY05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0162Class 3RECORDS - RESIDENT05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT05/03/2018-
3/19/2018 12:00:00 AMStandardSCLEA0181Class 3EMERGENCY PLAN APPROVAL05/03/2018-
3/19/2018 12:00:00 AMStandardSCLECZ827Class 4UNLICENSED ACTIVITY05/03/2018-
4/29/2016 12:00:00 AMStandardFW3XA0081Class 3TRAINING - STAFF IN-SERVICE06/14/2016-
5/6/2014 12:00:00 AMStandardXH1ZA0078Class 3STAFFING STANDARDS - STAFF06/30/2014-
3/1/2013 12:00:00 AMExpansion0K92NoneNoneNoneNoneNone