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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
1E
1F
Potential for minimal harm
0A
0B
0C
February 26, 2026Standard inspection · 5 citations
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and medical record review the facility failed to ensure one, (Resident #37) received timely assistance with facial grooming. This affected one of two reviewed for activities of daily living (ADL). The facility census was 97Findings include:Review of Resident #37's medical record revealed an admission date of 02/05/26. Medical diagnoses include encounter for other orthopedic aftercare, nondisplaced intertrochanteric fracture of left femur subsequent encounter for closed fracture with routine healing, need for assistance with personal care, wedge compression fracture of unspecified lumbar vertebrae, chronic kidney disease stage III, Alzheimer's disease, and essential primary hypertension. [...]
- D
Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Resident #102 received services for her vision. This affected one, (Resident #102) of one resident viewed for communication and sensory. The facility census was 97.
- D
Provide appropriate foot care.
Inspectors wroteBased on record review, observation, and interview the facility failed to provide timely podiatric care for one, (Resident #79) of two reviewed for activities of daily living (ADL). The census was 97.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to obtain weekly weights for Resident #37 who was a new admission and at nutritional risk. This affected one (Resident #37) of two residents reviewed for nutrition. The census was 97.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and medical record review the facility failed to ensure Resident #13's blood pressure medications were not administered outside of parameters. This affected one resident (#13) of five residents reviewed for unnecessary medications. The facility census was 97.
December 9, 2025Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, interview and facility policy review, the facility failed to implement safety interventions for Resident #37. This affected one (Resident #37) out three residents reviewed for accidents. The facility census was 103.
July 11, 2024Standard inspection · 2 citations
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, review of a test tray, resident and staff interview, and policy review, the facility failed to ensure food was served at a palliative and warm food temperature. This affected Residents #11, #77, and #80 and had the potential to affect all residents who received meals from the kitchen except Resident #1 and Resident #99 who were nothing-by-mouth (NPO). The facility census was 94.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, staff interview and facility policy review, the facility failed to maintain appropriate infection control practices in the area of isolation and enhanced barrier precautions (EBP). This affected two residents (#77 and #84) of 24 residents on isolation and/or EBP. Additionally, the facility failed to ensure proper hand hygiene was completed in between contact with each resident while serving meal trays. This had the potential to all nine residents (Resident #198, #86, #30, #199, #200, #74, #72, #63, and #201) residing on the facility's C unit who received a meal tray. The facility census was 94.
August 18, 2022Standard inspection · 3 citations
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #24, Resident #58 and Resident #350, who required staff assistance for activities of living (ADL) care received timely assistance with nail care to maintain proper grooming. This affected three residents (#24, #58 and #350) of three residents reviewed for ADL care. The facility identified 71 residents who required assistance with grooming and hygiene.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #37 was provided timely and adequate assistance with eating, a nutritional diet was provided as ordered and meal intakes were documented for Resident #37 who was identified to have a significant weight loss in one month. This affected one resident (#37) of five residents reviewed for nutrition.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #37 had oxygen on to maintain her oxygen saturation above 90 percent as ordered. This affected one resident (#37) of eight residents who were ordered oxygen on unit one.
Fire safety inspections
5 fire safety citations on file: 1 on February 26, 2026, 4 on August 18, 2022.
Every fire safety citation5 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · February 26, 2026 · Corrected (the home has a date of correction)
- F
Install proper backup exit lighting.
K 281 · August 18, 2022 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 18, 2022 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · August 18, 2022 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · August 18, 2022 · Corrected (the home has a date of correction)