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 8 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
1E
0F
Potential for minimal harm
0A
0B
0C
July 22, 2026Standard inspection · 0 citations
April 9, 2025Standard inspection · 5 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when staff failed to properly label food items stored in the nourishment refrigerator and when 1 of 1 staff (Dietary [NAME] C) failed to perform hand hygiene when preparing meal trays. The facility had a census of 61 with 61 of those residents receiving a tray from 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 policy review, medical record review, and interview, the facility failed to maintain or enhance resident's dignity and respect when 2 of 2 (Resident #5 and #48) sampled residents were not given showers on their assigned shower days per their preference.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide a communication process, including how the communication will be documented between the facility and the hospice provider to ensure resident needs are addressed and met for 1 of 1 (Resident #21) sampled residents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on the facility policy review, medical record review, observations and interviews, the facility failed to ensure residents were free from accident hazards when staff failed to properly store and secure a portable oxygen cylinder for 1 of 1 (Resident #47) sampled resident.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed during medication administration when 1 of 3 nurses (Licensed Practical Nurse (LPN) A) completed a Percutaneous Gastrostomy, (Peg- peg tube a tube inserted into the stomach for nutrition and medications) medication administration and immediately gave eye drops to resident without changing gloves or perform hand hygiene.
April 18, 2024Standard inspection · 3 citations
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to revise a care plan for 1 of 2 (Resident #10) residents reviewed for indwelling urinary catheters.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to honor dietary preferences for 1 of 1 sampled resident (Resident #161) reviewed for food allergies.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, under sanitary conditions as evidenced by a tomato in a box in the walk-in refridgerator that had black and white fur spots on the tomato with drainage from the tomato in the box, and flour, corn meal, brown sugar, frosted flakes and white sugar in undated bins in the dry storage area. The facility had a census of 66 with 65 of those residents receiving a meal tray from the kitchen.
Fire safety inspections
4 fire safety citations on file: 2 on April 9, 2025, 2 on April 18, 2024.
Every fire safety citation4 citations
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 9, 2025 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · April 9, 2025 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · April 18, 2024 · Corrected (the home has a date of correction)
- D
Have restrictions on the use of portable space heaters.
K 781 · April 18, 2024 · Corrected (the home has a date of correction)