Inspection Details

Facility ID: 11969190 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
4/29/2025 12:00:00 AMStandardCIRXA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN07/29/2025-
4/29/2025 12:00:00 AMStandardCIRXA0054Class 3MEDICATION - RECORDS07/29/2025-
4/29/2025 12:00:00 AMStandardCIRXA0081Class 3TRAINING - STAFF IN-SERVICE07/29/2025-
4/29/2025 12:00:00 AMStandardCIRXA0082Class 3TRAINING - HIV/AIDS07/29/2025-
4/29/2025 12:00:00 AMStandardCIRXA0162Class 3RECORDS - RESIDENT07/29/2025-
4/18/2024 12:00:00 AMComplaint5HE1CZ875Class 3ALZHEIMER DISEASE/DEMENTIA; TRAINING06/06/2024-
2/7/2024 12:00:00 AMComplaintJ0CHNoneNoneNoneNoneNone
4/14/2023 12:00:00 AMStandard53FCA0010Class 3ADMISSIONS - CONTINUED RESIDENCY05/31/2023-
2/13/2023 12:00:00 AMComplaintJYJ5A0054Class 3MEDICATION - RECORDS04/14/2023-
11/1/2022 12:00:00 AMComplaint4RWPA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN01/10/2023-
8/4/2022 12:00:00 AMComplaintR3NKNoneNoneNoneNoneNone
10/26/2021 12:00:00 AMComplaintPRUMNoneNoneNoneNoneNone
10/26/2021 12:00:00 AMStandardXXH9A0162Class 3RECORDS - RESIDENT01/14/2022-
9/16/2021 12:00:00 AMStandardXXH9A0025Class 3RESIDENT CARE - SUPERVISION10/26/2021-
2/15/2021 12:00:00 AMComplaintUNWGNoneNoneNoneNoneNone
8/15/2020 12:00:00 AMComplaintESG8NoneNoneNoneNoneNone
7/6/2020 12:00:00 AMComplaintOUI9NoneNoneNoneNoneNone
5/20/2020 12:00:00 AM-4TPLNoneNoneNoneNoneNone
7/17/2019 12:00:00 AMChange of OwnershipC8LRNoneNoneNoneNoneNone
7/17/2019 12:00:00 AMComplaintO8TXNoneNoneNoneNoneNone
4/10/2019 12:00:00 AMStandard6F0KA0093Class 3FOOD SERVICE - DIETARY STANDARDS05/28/2019-
11/8/2018 12:00:00 AMComplaint2EK6NoneNoneNoneNoneNone
4/30/2018 12:00:00 AMComplaintNYI5NoneNoneNoneNoneNone
4/19/2018 12:00:00 AMComplaint4VDGA0054Class 3MEDICATION - RECORDS06/18/2018-
4/19/2018 12:00:00 AMComplaint4VDGA0160Class 3RECORDS - FACILITY06/18/2018-
12/27/2017 12:00:00 AMComplaint8VMDNoneNoneNoneNoneNone
4/11/2017 12:00:00 AMInitial LicensureZC5ONoneNoneNoneNoneNone