Inspection Details

Facility ID: 11969573 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
5/29/2024 12:00:00 AMStandardUK5FA0081Class 3TRAINING - STAFF IN-SERVICE08/01/2024-
5/29/2024 12:00:00 AMStandardUK5FA0082Class 3TRAINING - HIV/AIDS08/01/2024-
5/29/2024 12:00:00 AMStandardUK5FA0086Class 3TRAINING - ADRD08/01/2024-
5/29/2024 12:00:00 AMStandardUK5FA0090Class 3TRAINING - DO NOT RESUSCITATE ORDERS08/01/2024-
5/29/2024 12:00:00 AMStandardUK5FA0161Class 3RECORDS - STAFF08/01/2024-
2/21/2024 12:00:00 AMComplaintPMRXNoneNoneNoneNoneNone
8/29/2023 12:00:00 AM-1SOENoneNoneNoneNoneNone
8/16/2023 12:00:00 AMComplaintCG6PNoneNoneNoneNoneNone
7/7/2022 12:00:00 AMStandardXK06NoneNoneNoneNoneNone
10/4/2021 12:00:00 AMComplaintEFJ1NoneNoneNoneNoneNone
9/16/2021 12:00:00 AMStandardJG1VA0078Class 3STAFFING STANDARDS - STAFF11/22/2021
(2) STAFF. (a) Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement. Newly hired staff does not include an employee transferring without a break in service from one facility to another when the facili...
9/16/2021 12:00:00 AMStandardJG1VA0165Class 3RISK MGMT & QA11/22/2021
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
4/5/2021 12:00:00 AMComplaint0B0XA0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT09/23/2021
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
8/19/2020 12:00:00 AMComplaint716GNoneNoneNoneNoneNone
6/22/2020 12:00:00 AMComplaint0W9KNoneNoneNoneNoneNone
8/29/2019 12:00:00 AMInitial Licensure7EX9NoneNoneNoneNoneNone