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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
2F
Potential for minimal harm
0A
0B
0C
December 3, 2025Standard inspection · 3 citations
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to notify a resident representative of a change in condition for 1 resident (Resident #16) of 6 residents reviewed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to revise a care plan to include a new fall intervention for 1 resident (Resident #16) of 3 care plans reviewed for falls.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to follow infection control practices on 2 of 4 hallways observed.
May 22, 2024Complaint inspection · 1 citation
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on review of facility policy, observations, and interviews, the facility failed to maintain a safe, comfortable, and homelike environment for room [ROOM NUMBER] on the 100 hall and rooms [ROOM NUMBERS] on the 400 hall on 2 of 4 hallways observed for a homelike environment.
April 20, 2022Standard inspection · 2 citations
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on facility policy review, time punch review, review of staff statements, and interviews the facility failed to maintain a sufficient number of dietary staff to safely and effectively carry out the function of the food and nutrition service for dining during breakfast for 60 of 62 residents.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview the facility failed to maintain a sanitary kitchen with undated, expired, open to air, and undated with use by date, in 1 of 2 refrigerators, and in 2 of 2 freezers and failed to maintain a sanitary kitchen with debris in 1 of 3 plastic storage bins, and unsanitary use of food temperature thermometers. The facility failed to maintain a sanitary kitchen with dietary staff not using appropriate hand hygiene, undated, unlabeled, undated with a use by date, and food items stored inappropriately under 1 of 1 steam tables and failed to maintain kitchen equipment in a sanitary manner. [...]
June 5, 2019Standard inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of the facility policy, medical record review, observation and interview the facility failed to maintain infection control practices for 1 resident (#52) of 3 residents observed for wound care.
Fire safety inspections
12 fire safety citations on file: 5 on December 3, 2025, 3 on April 20, 2022, 4 on June 5, 2019.
Every fire safety citation12 citations
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · December 3, 2025 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · December 3, 2025 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · December 3, 2025 · Corrected (the home has a date of correction)
- D
Provide a written emergency evacuation plan.
K 711 · December 3, 2025 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · December 3, 2025 · Corrected (the home has a date of correction)
- D
Install properly constructed windows in hallway walls or doors.
K 364 · April 20, 2022 · Corrected (the home has a date of correction)
- D
Meet requirements for the installation and maintenance of electrical systems.
K 911 · April 20, 2022 · Corrected (the home has a date of correction)
- D
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · April 20, 2022 · Corrected (the home has a date of correction)
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · June 5, 2019 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 5, 2019 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · June 5, 2019 · Corrected (the home has a date of correction)
- E
Meet requirements for the use of electrical equipment.
K 919 · June 5, 2019 · Corrected (the home has a date of correction)