Inspection Details

Facility ID: 11969654 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
8/7/2025 12:00:00 AMComplaint9347A0025Class 3RESIDENT CARE - SUPERVISION10/09/2025-
8/7/2025 12:00:00 AMComplaint9347A0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/09/2025-
8/7/2025 12:00:00 AMComplaint9347A0054Class 3MEDICATION - RECORDS10/09/2025-
8/7/2025 12:00:00 AMComplaint9347A0056Class 3MEDICATION - LABELING AND ORDERS10/09/2025-
8/7/2025 12:00:00 AMComplaint9347A0078Class 3STAFFING STANDARDS - STAFF10/09/2025-
8/7/2024 12:00:00 AMStandardEQD4NoneNoneNoneNoneNone
5/10/2022 12:00:00 AMStandard8V18NoneNoneNoneNoneNone
3/20/2020 12:00:00 AMInitial LicensureIOO3NoneNoneNoneNoneNone