Inspection Details

Facility ID: 11969347 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
7/14/2025 12:00:00 AM-O4ZWA0053Class 3MEDICATION - ADMINISTRATION--
7/8/2025 12:00:00 AMStandardMZPQA0025Class 3RESIDENT CARE - SUPERVISION--
11/6/2024 12:00:00 AMMonitorO4ZWA0010Class 3ADMISSIONS - CONTINUED RESIDENCY07/14/2025-
1/31/2023 12:00:00 AMComplaint5D7QA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES03/30/2023-
1/10/2023 12:00:00 AMStandardIW7CA0078Class 3STAFFING STANDARDS - STAFF03/30/2023-
1/10/2023 12:00:00 AMStandardIW7CA0086Class 3TRAINING - ADRD03/30/2023-
1/12/2021 12:00:00 AMStandardMQZWA0010Class 3ADMISSIONS - CONTINUED RESIDENCY04/02/2021-
1/12/2021 12:00:00 AMStandardMQZWA0093Class 4FOOD SERVICE - DIETARY STANDARDS04/02/2021-
5/28/2020 12:00:00 AMComplaintNRYBNoneNoneNoneNoneNone
4/28/2020 12:00:00 AM-7CQXNoneNoneNoneNoneNone
3/9/2020 12:00:00 AMComplaintZKW0NoneNoneNoneNoneNone
2/24/2020 12:00:00 AMMonitorU2XYNoneNoneNoneNoneNone
11/6/2019 12:00:00 AMComplaint7KUJA0078Class 3STAFFING STANDARDS - STAFF12/12/2019-
11/6/2019 12:00:00 AMComplaint7KUJA0081Class 3TRAINING - STAFF IN-SERVICE12/12/2019-
11/6/2019 12:00:00 AMComplaint7KUJA0086Class 3TRAINING - ADRD12/12/2019-
5/9/2019 12:00:00 AMComplaint1OWDCZ814Class 4BACKGROUND SCREENING CLEARINGHOUSE06/20/2019-
7/24/2018 12:00:00 AMInitial LicensureUG7VNoneNoneNoneNoneNone