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
7D
0E
0F
Potential for minimal harm
0A
0B
0C
December 18, 2025Standard inspection · 5 citations
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased upon record review and interviews, the facility failed to obtain written consent prior to starting psychotropic medications for 2 of 5 residents reviewed. (Resident #3 and #54)
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to complete an annual comprehensive assessment (minimum data set) at least every 12 months for 1 of 23 sampled residents. (Resident #59)
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure Minimum Data Set (MDS) Assessments were completed and transmitted within 14 days after a facility completed a resident's Quarterly MDS assessment for 2 of 23 MDS Assessments reviewed (Residents #73 and #10).
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to administer the pneumonia vaccination in a timely manner to 1 of 5 sampled residents that consented to receive the vaccine. (Resident #18)
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to administer the COVID-19 vaccine in a timely manner to 1 of 5 sampled residents who consented to receive the vaccine. (Resident #18)
August 15, 2024Standard inspection · 0 citations
May 17, 2023Standard inspection · 2 citations
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to acquire, receive, dispense, and administer an ordered anti-seizure medication for 1 of 1 residents reviewed. (Resident #39)
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspectors wroteBased on observations, staff interviews, and admission packet review, the facility failed to ensure each resident bedroom was equipped with means for privacy for 2 of 18 sampled occupied resident rooms. (Rooms 605 A and 608 A)
Fire safety inspections
5 fire safety citations on file: 1 on December 18, 2025, 3 on August 15, 2024, 1 on May 17, 2023.
Every fire safety citation5 citations
- D
Install corridor and hallway doors that block smoke.
K 363 · December 18, 2025 · Corrected (the home has a date of correction)
- D
Address subsistence needs for staff and patients.
E 15 · August 15, 2024 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · August 15, 2024 · Corrected (the home has a date of correction)
- D
Have properly sized and located compartments to protect residents from smoke.
K 371 · August 15, 2024 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · May 17, 2023 · Corrected (the home has a date of correction)