Inspection Details

Facility ID: 11969157 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/19/2025 12:00:00 AMStandard6J9TNoneNoneNoneNoneNone
6/8/2023 12:00:00 AMStandardR68VNoneNoneNoneNoneNone
1/11/2023 12:00:00 AMComplaintGXZ6NoneNoneNoneNoneNone
9/1/2022 12:00:00 AMComplaint007SNoneNoneNoneNoneNone
5/2/2022 12:00:00 AMComplaintUBNINoneNoneNoneNoneNone
9/21/2021 12:00:00 AMStandardFSKBNoneNoneNoneNoneNone
8/11/2020 12:00:00 AMComplaint51NUNoneNoneNoneNoneNone
11/20/2018 12:00:00 AMStandardFS8ZNoneNoneNoneNoneNone
11/19/2018 12:00:00 AMComplaint5E5PNoneNoneNoneNoneNone
8/30/2018 12:00:00 AMMonitorRWGZNoneNoneNoneNoneNone
6/26/2018 12:00:00 AMMonitorH7YCNoneNoneNoneNoneNone
6/20/2018 12:00:00 AMComplaint5E5PA0010Class 3ADMISSIONS - CONTINUED RESIDENCY--
4/30/2018 12:00:00 AMComplaintTUFYNoneNoneNoneNoneNone
2/21/2018 12:00:00 AMComplaintG1WOA0078Class 3STAFFING STANDARDS - STAFF04/30/2018-
2/21/2018 12:00:00 AMComplaintG1WOA0081Class 3TRAINING - STAFF IN-SERVICE04/30/2018-
2/21/2018 12:00:00 AMComplaintG1WOA0082Class 3TRAINING - HIV/AIDS04/30/2018-
2/21/2018 12:00:00 AMComplaintG1WOA0086Class 3TRAINING - ADRD04/30/2018-
2/21/2018 12:00:00 AMComplaintG1WOA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS04/30/2018-
11/14/2017 12:00:00 AMMonitorEI1BA0008Class 3ADMISSIONS - HEALTH ASSESSMENT01/03/2018-
11/14/2017 12:00:00 AMMonitorEI1BAN277Class 3LNS - RESIDENT CARE STANDARDS01/03/2018-
11/14/2017 12:00:00 AMMonitorEI1BCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE01/03/2018-
11/14/2017 12:00:00 AMComplaintVK4JNoneNoneNoneNoneNone
8/4/2017 12:00:00 AMComplaintEHUYA0025Class 3RESIDENT CARE - SUPERVISION09/06/2017-
8/4/2017 12:00:00 AMComplaintEHUYA0078Class 3STAFFING STANDARDS - STAFF09/06/2017-
8/4/2017 12:00:00 AMComplaintEHUYA0081Class 3TRAINING - STAFF IN-SERVICE09/06/2017-
8/4/2017 12:00:00 AMComplaintEHUYA0086Class 3TRAINING - ADRD09/06/2017-
8/4/2017 12:00:00 AMComplaintEHUYA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT09/06/2017-
5/11/2017 12:00:00 AMComplaintMJCONoneNoneNoneNoneNone
2/1/2017 12:00:00 AMInitial LicensureZH9CNoneNoneNoneNoneNone