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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
2F
Potential for minimal harm
0A
0B
0C
January 6, 2026Standard inspection · 2 citations
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure staff adhered to infection prevention and control practices, including hand hygiene and cleaning and disinfection of resident care equipment, to prevent the transmission of infections. The failure had the potential to affect all residents.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of facility policies, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety.
August 22, 2024Standard inspection · 2 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 observation and interview, the facility failed to ensure kitchen surfaces and equipment were free of an excessive amount of rust, black build up, and dust. These deficient practices had the potential to affect all residents who received food from the kitchen.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to develop a care plan addressing the use of an anticoagulant for 1 (Resident #24) of 6 sampled residents reviewed for unnecessary medications. The facility also failed to develop a care plan addressing hospice services for 1 (Resident #37) of 1 resident reviewed for hospice and end of life.
November 21, 2019Standard inspection · 2 citations
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to maintain an effective infection prevention and control program to prevent the transmission of communicable diseases. The facility reported an outbreak of a virus on 11/19/19 with sixteen (16) residents affected. Observations revealed nine (9) of the sixteen (16) residents' rooms did not have Personal Protective Equipment readily available outside of the room and thirteen (13) of the residents' rooms did not have signage in a conspicuous place outside the resident's room identifying the category of precautions and/or instructions to see the nurse before entering.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to provide appropriate respiratory services related to oxygen therapy for one (1) of twenty-two (22) sampled residents (Resident #6). Resident #6 was observed on 11/19/19 receiving oxygen via nasal cannula at two (2) liters per minute (LPM); however, the order for Resident #6's oxygen was discontinued in September 2019.
Fire safety inspections
6 fire safety citations on file: 2 on January 6, 2026, 3 on August 22, 2024, 1 on November 21, 2019.
Every fire safety citation6 citations
- E
Ensure proper usage of power strips and extension cords.
K 920 · January 6, 2026 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 6, 2026 · Corrected (the home has a date of correction)
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · August 22, 2024 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · August 22, 2024 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · August 22, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 21, 2019 · Corrected (the home has a date of correction)