Inspection Details

Facility ID: 11968545 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
10/2/2025 12:00:00 AMStandardSJD2A0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS--
10/2/2025 12:00:00 AMStandardSJD2A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN--
10/2/2025 12:00:00 AMStandardSJD2A0053Class 3MEDICATION - ADMINISTRATION--
10/2/2025 12:00:00 AMStandardSJD2A0056Class 3MEDICATION - LABELING AND ORDERS--
10/2/2025 12:00:00 AMStandardSJD2A0078Class 3STAFFING STANDARDS - STAFF--
10/2/2025 12:00:00 AMStandardSJD2ZZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING--
7/23/2025 12:00:00 AMComplaintYS3ANoneNoneNoneNoneNone
8/19/2024 12:00:00 AMComplaintHZ5TNoneNoneNoneNoneNone
6/6/2024 12:00:00 AMStandard43CZA0025Class 3RESIDENT CARE - SUPERVISION12/09/2024-
6/6/2024 12:00:00 AMStandard43CZA0081Class 3TRAINING - STAFF IN-SERVICE12/09/2024-
6/6/2024 12:00:00 AMStandard43CZA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS07/04/2024-
6/6/2024 12:00:00 AMStandard43CZCZ814UnclassifiedBACKGROUND SCREENING CLEARINGHOUSE12/09/2024-
12/5/2023 12:00:00 AMComplaintN222A0078Class 3STAFFING STANDARDS - STAFF01/05/2024-
12/5/2023 12:00:00 AMComplaintN222A0081Class 3TRAINING - STAFF IN-SERVICE02/05/2024-
12/28/2021 12:00:00 AMMonitorIM4JA0081Class 3TRAINING - STAFF IN-SERVICE04/08/2022-
12/28/2021 12:00:00 AMMonitorIM4JA0084Class 3TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT04/08/2022-
12/28/2021 12:00:00 AMMonitorIM4JA0086Class 3TRAINING - ADRD04/08/2022-
12/28/2021 12:00:00 AMMonitorIM4JA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS04/08/2022-
12/28/2021 12:00:00 AMMonitorIM4JA0091Class 3TRAINING - DOCUMENTATION & MONITORING04/08/2022-
12/28/2021 12:00:00 AMMonitorIM4JCZ814Class 3BACKGROUND SCREENING CLEARINGHOUSE04/08/2022-
9/13/2021 12:00:00 AMComplaintISFCNoneNoneNoneNoneNone
4/14/2020 12:00:00 AM-E9DNNoneNoneNoneNoneNone
8/15/2019 12:00:00 AMChange of OwnershipYU9BA0181Class 3EMERGENCY PLAN APPROVAL11/19/2019-
7/25/2019 12:00:00 AMComplaintKOC9A0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES10/04/2019-
7/25/2019 12:00:00 AMComplaintKOC9A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/04/2019-
3/7/2019 12:00:00 AMMonitorESRNNoneNoneNoneNoneNone
12/4/2018 12:00:00 AMStandardR0GLA0050Class 3MEDICATION - SELF ADMINISTERED MEDICATIONS02/01/2019-
12/4/2018 12:00:00 AMStandardR0GLA0081Class 3TRAINING - STAFF IN-SERVICE02/01/2019-
10/16/2018 12:00:00 AMComplaintDQSEA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER12/04/2018-
5/31/2017 12:00:00 AMComplaintC30NA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/01/2017-
4/25/2017 12:00:00 AMComplaint0BEINoneNoneNoneNoneNone
1/10/2017 12:00:00 AMStandard12F6A0078Class 3STAFFING STANDARDS - STAFF01/12/2017-
5/5/2015 12:00:00 AMChange of OwnershipO91LA0054Class 3MEDICATION - RECORDS06/18/2015-
9/8/2014 12:00:00 AMComplaintODIJA0055Class 3MEDICATION - STORAGE AND DISPOSAL11/18/2014-
9/8/2014 12:00:00 AMComplaintODIJA0057Class 3MEDICATION - OVER THE COUNTER (OTC) PRODUCTS11/18/2014-
9/8/2014 12:00:00 AMComplaintODIJA0078Class 3STAFFING STANDARDS - STAFF11/18/2014-
9/8/2014 12:00:00 AMComplaintODIJA0081Class 3TRAINING - STAFF IN-SERVICE11/18/2014-
9/8/2014 12:00:00 AMComplaintODIJA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS11/18/2014-
10/1/2013 12:00:00 AMInitial LicensureY1JUNoneNoneNoneNoneNone