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
2E
0F
Potential for minimal harm
0A
0B
0C
August 6, 2026Standard inspection · 5 citations
- 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 observation and interview, the facility failed to maintain a safe functional, sanitary, and comfortable environment when multiple resident rooms, and resident-use areas were observed damaged, deteriorated, unsecured, or unsanitary conditions in 8 of 64 rooms observed. (Rooms 210, 214, 216, 101, 226, 221, 207, and 211)
- 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 observations and interviews, the facility failed to ensure medications were appropriately stored and inaccessible to residents for 1 of 27 residents reviewed. (Resident #85)
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews, the facility failed to maintain dry food and disposable food supplies in the kitchen storage room in a clean, dry, and sanitary environment. On 08/06/26 at approximately 12:45 PM, a tour of the kitchen dry food storage room entrance area revealed an unknown black substance in the ceiling tiles and on the wall behind the door, with an unknown orange substance on the metal ceiling grid. Water was observed dripping from the ceiling. At 12:57 PM, while exiting the kitchen dry food storage, another area of water dripping from the ceiling was observed. An approximately 3x3 section of white plywood screwed into the ceiling was discolored with water pooling and dripping from the ceiling. On 08/06/26 at approximately 12:57 PM, an interview with the Dietary Manager regarding the dry food storage area revealed that they are always mopping in this area. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure infection control standards were maintained for vascular access devices in 1 of 1 residents reviewed. (Resident #68)
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview and policy review, the facility failed to ensure a functioning resident call light system was readily accessible to 2 of 4 sampled residents in a shared bathroom. The call light cord was missing, and the call system could not be activated from the floor, creating the potential for delayed assistance in the event of a fall or other need for staff assistance. (Residents #65 and #70)On 8/4/26 at approximately 9:20 AM an observation of the shared bathroom used by Resident #65 and #70 revealed the resident call light cord was missing from the area adjacent to the toilet. The call light could not be activated from the floor in the event a resident fell and was unable to reach the wall-mounted call light. On 8/4/26 at approximately 10:00 AM, an interview was conducted with Employee E, Certified Nursing Assistant (CNA). [...]
May 15, 2025Standard inspection · 0 citations
March 14, 2024Standard inspection · 6 citations
- E
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 observation, resident and staff interviews, the facility failed to provide housekeeping and maintenance services to maintain a clean and sanitary environment for 9 of 9 rooms sampled for environment. (Rooms 112, 114, 115, 203, 207, 220, 228, 229, 230, resident #31's room and resident #71's room)
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and policy review, the facility failed to follow proper hand hygiene and food handling practices during 1 of 5 observation of the kitchen.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to honor resident's right to dignity for 2 of 2 residents sampled. (Resident #63 and #70)
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, resident interview, staff interview and record review, the facility failed to provide activities of daily living assistance with finger and toenail trimming for 2 of 3 residents sampled (Resident #31 and #47). The facility also failed to facilitate Restorative Nursing services as ordered for Resident #31.
- 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 observation, resident interview, staff interview and facility policy review, the facility failed to ensure proper storage of medications for 1 of 21 sampled residents (Resident #71).
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, staff interview and policy review, the facility failed to ensure complete and accurate documentation on the Medication Administration Records (MARs) for for 1 of 5 residents sampled for unnecessary medication review.
Fire safety inspections
5 fire safety citations on file: 2 on August 6, 2026, 2 on May 15, 2025, 1 on March 14, 2024.
Every fire safety citation5 citations
- D
Install corridor and hallway doors that block smoke.
K 363 · August 6, 2026 · Not yet corrected
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · August 6, 2026 · Not yet corrected
- D
Address subsistence needs for staff and patients.
E 15 · May 15, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 15, 2025 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · March 14, 2024 · Corrected (the home has a date of correction)