Inspection Details

Facility ID: 11968558 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
10/2/2024 12:00:00 AMMonitorG3IONoneNoneNoneNoneNone
11/8/2023 12:00:00 AMStandardPWQKA0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/18/2024-
11/8/2023 12:00:00 AMStandardPWQKA0032Class 3RESIDENT CARE - ELOPEMENT STANDARDS01/18/2024-
3/31/2021 12:00:00 AMStandardKOZINoneNoneNoneNoneNone
3/13/2019 12:00:00 AMStandardX3LCA0081Class 3TRAINING - STAFF IN-SERVICE04/09/2019-
3/13/2019 12:00:00 AMStandardX3LCA0167Class 4RESIDENT CONTRACTS04/09/2019-
1/18/2019 12:00:00 AMComplaintDJBCA0181Class 3EMERGENCY PLAN APPROVAL03/12/2019-
1/18/2019 12:00:00 AMComplaintDJBCA0200Class 3EMERGENCY ENVIRONMENTAL CONTROL03/12/2019-
1/18/2019 12:00:00 AMComplaintDJBCCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE03/12/2019-
4/25/2017 12:00:00 AMChange of Ownership907QA0056Class 3MEDICATION - LABELING AND ORDERS06/26/2017-
4/25/2017 12:00:00 AMChange of Ownership907QA0162Class 3RECORDS - RESIDENT06/26/2017-
4/25/2017 12:00:00 AMChange of Ownership907QCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE06/26/2017-
2/22/2017 12:00:00 AMComplaintTS9OA0010Class 3ADMISSIONS - CONTINUED RESIDENCY03/16/2017-
10/8/2015 12:00:00 AMStandardEUBHA0008Class 3ADMISSIONS - HEALTH ASSESSMENT11/12/2015-
10/8/2015 12:00:00 AMStandardEUBHA0091Class 3TRAINING - DOCUMENTATION & MONITORING11/12/2015-
10/8/2015 12:00:00 AMStandardEUBHA0162Class 3RECORDS - RESIDENT11/12/2015-
10/9/2013 12:00:00 AMInitial LicensureNX2GNoneNoneNoneNoneNone