Inspection Details

Facility ID: 11969052 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
9/3/2025 12:00:00 AMStandard2WY9A0075Class 3USE OF PERSONNEL; EMERGENCY CARE (AED)--
9/3/2025 12:00:00 AMStandard2WY9A0078Class 3STAFFING STANDARDS - STAFF--
9/3/2025 12:00:00 AMStandard2WY9A0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS--
6/6/2024 12:00:00 AMComplaint112PNoneNoneNoneNoneNone
10/27/2023 12:00:00 AMStandardW22VA0010Class 3ADMISSIONS - CONTINUED RESIDENCY01/19/2024-
10/27/2023 12:00:00 AMStandardW22VA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER01/19/2024-
8/3/2021 12:00:00 AMStandardEPRQNoneNoneNoneNoneNone
9/10/2020 12:00:00 AMComplaint418OA0078Class 3STAFFING STANDARDS - STAFF10/19/2020-
9/10/2020 12:00:00 AMComplaint418OA0081Class 3TRAINING - STAFF IN-SERVICE10/19/2020-
9/10/2020 12:00:00 AMComplaint418OA0086Class 3TRAINING - ADRD10/19/2020-
9/26/2019 12:00:00 AMChange of OwnershipEYUUNoneNoneNoneNoneNone
7/25/2019 12:00:00 AMComplaintXMTHNoneNoneNoneNoneNone
7/26/2018 12:00:00 AMStandardU3H9A0010Class 3ADMISSIONS - CONTINUED RESIDENCY09/20/2018-
7/26/2018 12:00:00 AMStandardU3H9A0056Class 4MEDICATION - LABELING AND ORDERS09/20/2018-
7/26/2018 12:00:00 AMStandardU3H9A0086Class 3TRAINING - ADRD09/20/2018-
7/26/2018 12:00:00 AMStandardU3H9A0181Class 3EMERGENCY PLAN APPROVAL10/30/2018-
7/26/2018 12:00:00 AMStandardU3H9A0200Class 3EMERGENCY ENVIRONMENTAL CONTROL09/20/2018-
5/29/2018 12:00:00 AMComplaintMGUIA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES07/26/2018-
5/29/2018 12:00:00 AMComplaintMGUIA0054Class 3MEDICATION - RECORDS07/26/2018-
8/30/2017 12:00:00 AMComplaintJK8BNoneNoneNoneNoneNone
5/8/2017 12:00:00 AMComplaintKPGBNoneNoneNoneNoneNone
12/30/2016 12:00:00 AMComplaint390QA0025Class 3RESIDENT CARE - SUPERVISION02/28/2017-
12/14/2016 12:00:00 AMChange of OwnershipR924A0010Class 3ADMISSIONS - CONTINUED RESIDENCY02/28/2017-
12/14/2016 12:00:00 AMChange of OwnershipR924CZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE02/28/2017-
7/25/2016 12:00:00 AMInitial Licensure68LZA0004Class 3LICENSURE - REQUIREMENTS08/05/2016-