Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
0F
Potential for minimal harm
0A
0B
0C
July 10, 2025Standard inspection · 3 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.11(D)Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure that all food stored in the facility's dry storage, refrigerators (fridge) and freezer were labeled, dated, and sealed, the low-temperature dish machine was reaching 120 degrees Fahrenheit (F)(a temperature scale) during every wash cycle, items were tested for the temperature (temped) after being reheated in the microwave to prevent foodborne illness, failed to follow recipes, and failed to ensure the kitchen shelving and equipment were clean to prevent cross contamination. This had the potential to affect 32 residents that consumed food from the kitchen. The total facility census was 78.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(vi)(3)(a)Based on observation, interview and record review the facility failed to ensure resident's receiving a continuous tube feeding had a head of bed elevation of at least 30 degrees for 1 (Resident 18) of 2 residents sampled. The facility census was 78.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, the facility failed to ensure that the ordered parameters were followed prior to Carvedilol (a medication used to treat heart failure and high blood pressure) administration for 1 (Resident 40) of 5 sampled residents. The facility census was 78.
May 14, 2024Standard inspection · 2 citations
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteLicense Reference Number 175 NAC 12-006.12B Based on interviews and record review, the facility failed to ensure a documented rationale was provided by the physician for an as needed psychotropic medication for an order of longer duration than two-week period for 1 (Resident 29) of 5 sampled resident. The facility identified a census of 83.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number NAC 175 12.006.17B Based on observation, interview and record review; the facility staff failed to wear a gown during wound care for 1 resident (Resident 19) of 1 sampled residents who was on contact precautions. The facility census was 83.
April 20, 2023Standard inspection · 0 citations
Fire safety inspections
16 fire safety citations on file: 3 on July 10, 2025, 7 on May 14, 2024, 6 on April 20, 2023.
Every fire safety citation16 citations
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · July 10, 2025 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · July 10, 2025 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · July 10, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · May 14, 2024 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · May 14, 2024 · Corrected (the home has a date of correction)
- E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K 354 · May 14, 2024 · Corrected (the home has a date of correction)
- E
Provide a written emergency evacuation plan.
K 711 · May 14, 2024 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of portable space heaters.
K 781 · May 14, 2024 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · May 14, 2024 · Corrected (the home has a date of correction)
- E
Meet requirements for the use and maintenance of medical gas equipment.
K 922 · May 14, 2024 · Corrected (the home has a date of correction)
- F
Implement emergency and standby power systems.
E 41 · April 20, 2023 · Corrected (the home has a date of correction)
- F
Install a fire alarm system that can be heard throughout the facility.
K 341 · April 20, 2023 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 20, 2023 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · April 20, 2023 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 20, 2023 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of portable space heaters.
K 781 · April 20, 2023 · Corrected (the home has a date of correction)