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 9 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
2E
0F
Potential for minimal harm
0A
0B
0C
June 10, 2026Complaint 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 observation, clinical record review, facility policy review, and staff interviews the facility failed to implement fall interventions per Care Plan for 2 of 4 residents (Resident #3 and Resident #4) reviewed for falls. The facility reported a census of 54 residents.
December 3, 2025Standard inspection · 0 citations
October 10, 2024Standard inspection · 3 citations
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview, clinical record review, Centers for Disease Control and Prevention (CDC) policy review, the facility failed to screen for pneumococcal vaccines, educate residents or responsible party about benefits and potential side effects, or offer pneumococcal vaccines for 4 of 5 residents (R#1, R#22, R#23, and R#35), reviewed for immunizations. The facility reported a census of 50 residents.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, staff interviews, and policy review the facility failed to update the comprehensive assessment to ensure accuracy for 1 of 5 residents reviewed (Resident #16). The facility reported a census of 50 residents.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, staff interviews, and policy review the facility failed to prepare a medication as directed for for 1 out of 1 residents reviewed (Resident #31). The facility reported a census of 50 residents.
August 10, 2023Standard 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 observations, interviews, and facility policy review the facility failed to cover food and drinks during meal tray distribution for six out of six room trays observed during one out of one meals.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, staff interviews and facility policy review the facility failed to provide dignity covers for two out of four residents reviewed with urinary catheters (Resident #4 and #46).
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review, policy review, and staff interview the facility failed to maintain accurate advance directive records based on resident preference for 1 of 24 residents reviewed (#12). The facility reported a census of 52.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, observations, facility policy review, and staff interviews the facility failed to administer levothyroxine (medication used to treat an underactive thyroid) per physicians' orders for 1 of 1 residents in the sample (Resident #302); and within the scheduled timeframe for 3 of 8 residents in the sample (Residents #6, #9, and #302).
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical record review, observations, facility policy, and staff interviews the facility failed to ensure indwelling catheters bags and tubing were off the floor for 3 of 4 residents in the sample (Resident #4, Resident #46, and Resident #203).
Fire safety inspections
5 fire safety citations on file: 1 on December 3, 2025, 1 on October 10, 2024, 3 on August 10, 2023.
Every fire safety citation5 citations
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · December 3, 2025 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · October 10, 2024 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · August 10, 2023 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · August 10, 2023 · Corrected (the home has a date of correction)
- E
Use approved construction type or materials.
K 161 · August 10, 2023 · Corrected (the home has a date of correction)