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 10 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
0E
1F
Potential for minimal harm
0A
0B
0C
April 1, 2026Standard inspection, Complaint inspection · 4 citations
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to obtain a timely signature on the required Notice of Medicare Non-Coverage (NOMNC) for 1 resident (Resident #56) of 3 residents reviewed for beneficiary notification.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on facility policy review, medical record review, pharmacy record review, observation, and interview, the facility failed to administer a prophylactic antibiotic [medication used to treat a bacterial infection, in prophylactic use it is used to help decrease the risk for a recurring bacterial infection] as ordered by the Physician for 1 resident (Resident #8) of 15 residents reviewed for medications.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure expired over-the-counter medications, intravenous (IV) catheters, syringes, blood collection tubes (vacuum-sealed tubes used for collecting, transporting, and processing blood samples for laboratory analysis), and sterile water vials were discarded and not available for resident use, failed to ensure an insulin pen was labeled with the resident's name, and failed to ensure wound care supplies were stored unopened in 1 medication cart of 2 medication carts and 1 medication room of 2 medication rooms observed for medication storage.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review, observation, and interviews, the facility failed to maintain an accurate and complete medical record for 1 resident (Resident #8) of 15 medical records reviewed.
April 24, 2024Complaint inspection · 1 citation
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review, facility investigation review, and interview the facility failed to submit a 5 day follow up of the facility's investigation to the State Survey agency for 1 resident (Resident #1) of 4 residents reviewed.
May 24, 2023Standard 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 wroteBased on facility policy review, observation, and interview, the facility failed to ensure expired food items were discarded and failed to ensure food was properly stored in a walk-in freezer in 1 of 2 kitchens which had the potential to affect 29 residents.
- D
Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse was properly contained in 1 of 4 dumpsters.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure appropriate hand hygiene practices were followed during meal service on 1 of 3 hallways observed during meal service. Review of the facility's policy titled, Handwashing/Hand Hygiene, dated 1/1/2017, showed .handwashing/hand hygiene as the single most important means of preventing the spread of infection .All personnel will follow the handwashing procedure to prevent the spread of infection and disease to other personnel, residents, and visitors. Employees will perform appropriate handwashing procedures using antimicrobial or non-antimicrobial soap and water under the following conditions and as additionally needed .When to wash hands .Before and after each resident contact .Before handling food tray or preparing food . [...]
- D
Keep all essential equipment working safely.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure kitchen equipment was maintained in good repair in 1 of 2 kitchens.
January 8, 2020Standard inspection · 1 citation
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure 1 resident (#190) was free from significant medication errors of 5 residents observed for medication administration.
Fire safety inspections
7 fire safety citations on file: 2 on April 1, 2026, 3 on May 24, 2023, 2 on January 8, 2020.
Every fire safety citation7 citations
- F
Have simulated fire drills held at unexpected times.
K 712 · April 1, 2026 · Corrected (the home has a date of correction)
- D
Meet requirements for the installation and maintenance of electrical systems.
K 911 · April 1, 2026 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · May 24, 2023 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · May 24, 2023 · Corrected (the home has a date of correction)
- D
Have simulated fire drills held at unexpected times.
K 712 · May 24, 2023 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 8, 2020 · Corrected (the home has a date of correction)
- C
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · January 8, 2020 · Corrected (the home has a date of correction)