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
4D
0E
2F
Potential for minimal harm
0A
0B
1C
August 13, 2025Standard inspection · 4 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 46 residents with one kitchen. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to prevent the potential for food borne illness and decreased palatability. This puts the residents at risk for illness and weight loss.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility reported a census of 46 residents. The sample included 16 residents, which included seven residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide an environment free of accident hazards when Certified Nurse Aide (CNA) M assisted a cognitively impaired resident, Resident (R) 46, with locomotion in the hallway without the use of wheelchair pedals. This deficient practice placed R46 at risk for accidents.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteThe facility reported a census of 46 residents. Based on observation, interview and record review, the facility failed to maintain an effective infection control program related to the delivery of laundry to the residents' rooms. This deficient practice had the potential to lead to the cross-contamination and spread of communicable diseases to the residents of the facility.
- C
Post nurse staffing information every day.
Inspectors wroteThe facility reported a census of 46 residents. Based on record review and interview, the facility failed to display accurate and identifiable staffing information, which contained the actual nursing hours worked, for the 46 residents who resided in the facility.
March 7, 2024Standard inspection, Complaint inspection · 2 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 37 residents. Based on observation, interview, and record review, the facility failed to store foods safely and in sanitary conditions due to the staff failure to date and properly seal food items and removal of undated bread items to prevent the possible spread of food borne illness.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteThe facility census totaled 37 residents with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to provide a safe sanitary environment for two Residents (R)13 and R19, related to incontinent cares, to prevent spread possible infections in the facility.
June 30, 2022Standard inspection · 1 citation
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteThe facility reported a census of 42 residents with twelve selected for review including two residents reviewed for bowel and bladder incontinence. Based on observation, interview, and record review, the facility failed to provide perineal cares after urinary incontinence in a sanitary manner and toilet one of the residents, Resident (R)33, who required antibiotic treatment for a urinary tract infection, per her toileting schedule.
Fire safety inspections
14 fire safety citations on file: 4 on August 13, 2025, 1 on April 29, 2024, 5 on March 7, 2024, 4 on June 30, 2022.
Every fire safety citation14 citations
- F
Use approved construction type or materials.
K 161 · August 13, 2025 · Corrected (the home has a date of correction)
- D
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 · August 13, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 13, 2025 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · August 13, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 29, 2024 · 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 · March 7, 2024 · Corrected (the home has a date of correction)
- F
Have properly located and lighted "Exit" signs.
K 293 · March 7, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 7, 2024 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · March 7, 2024 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · March 7, 2024 · 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 30, 2022 · Corrected (the home has a date of correction)
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · June 30, 2022 · 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 30, 2022 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · June 30, 2022 · Corrected (the home has a date of correction)