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 54 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
43D
6E
3F
Potential for minimal harm
0A
0B
0C
April 22, 2026Complaint inspection · 3 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 observations, record review, Food Committee Minute review, interviews, and facility policy review, the facility failed to ensure food temperatures were monitored to prevent food borne illness. This had the potential to affect all residents residing in the facility. The facility census was 110.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on closed record review, interview and policy review the facility failed to ensure residents were free of significant medication errors This affected one resident (Resident #111) of three residents reviewed for medications.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on closed record review, interview, and review of facility policy the facility failed to ensure meal intakes were documented for one resident (#111) of three residents reviewed for nutrition. The facility census was 110.
February 17, 2026Standard inspection, Complaint inspection · 12 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 observation, staff interview, and review of facility policy, the facility failed to ensure hairnets were worn properly by kitchen staff to protect food from potential contamination. This had the potential to affect all residents except one (Resident #2) who did not receive food from the kitchen due to an active NPO (nothing by mouth) order. The facility census was 112.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on medical record review, observation and staff interview, the facility failed to maintain dignity during meal time. This affected one (Resident #28) of seven residents observed in the dining room. The census was 112.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on staff interview, medical record review, and review of the facility policy on bed hold, the facility failed to notify the resident's representative of the facility's bed hold policy in writing. This affected one resident (Resident #133) of one resident reviewed for hospitalization. The facility census was 112.
- 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 observation, staff interview, medical record review, and review of the facility policy, the facility failed to develop a comprehensive, person-centered care plan that included Continuous Positive Airway Pressure (CPAP) therapy (a device that delivers air pressure using a mask to keep the airway open while sleeping). This affected one (Resident #91) of two residents reviewed for CPAP therapy. The census was 112.
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observations, medical record review, resident interview, staff interview, and review of facility activity calendar, the facility failed to provide meaningful activities to all residents. This affected two (Residents #44 and #101) of six residents reviewed for activities. The census was 112. Findings Include:1. Resident #44 was admitted to the facility on [DATE]. Her diagnoses were chronic kidney disease, congestive heart failure, vitamin D deficiency, disorder of muscle, hypertensive heart and chronic kidney disease, end stage renal disease, Type II Diabetes, acute respiratory failure with hypoxia, rhabdomyolysis, hypoosmolality and hyponatremia, acute kidney failure, hypothyroidism, atherosclerotic heart disease, hypotension, muscle weakness, dyspnea, hypertension, insomnia, edema, osteoarthritis, and constipation. [...]
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and observations this facility failed to ensure post appointment instructions were followed this affected one (Resident #101) of one resident reviewed for follow up care. The facility also failed to ensure Thrombo-Embolism Deterrent (TED) hose were in place as ordered. This affected two (Resident #80 and #91) of the two residents reviewed for TED hose placement. The facility census was 112.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation and staff interview, the facility failed to implement and/or follow physician orders to treat pressure injuries. This affected two residents, (Resident #126 and Resident #91), of four residents reviewed for pressure injury management. The facility census was 112.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, staff interview, and review of facility nutrition policies, the facility failed to ensure one ( Resident #66) did not experience a significant weight loss and failed to ensure one ( Resident #92's) fluid restriction was followed. This affected two of seven residents (#14, #36, #44, #66, #92, #10, and #10) reviewed for nutrition. The facility census was 112.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow physician orders for oxygenation therapy for Resident #06 and continuous positive airway pressure, (CPAP) use for Resident #36. This affected two residents, (Residents #06 and #36) of four residents reviewed for respiratory care. The facility census was 112. Findings Include:1. Record review for Resident #06 revealed this resident was admitted to the facility on [DATE] with diagnoses including: cerebral infarction, diabetes mellitus, chronic respiratory failure with hypoxia, anxiety, depression, congestive heart failure and choric obstructive pulmonary disorder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed this resident had intact cognition evidenced by a Brief Interview for Mental Status (BIMS) score of 15. [...]
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review and staff interview, the facility failed to timely and thoroughly address all pharmacy recommendations. This affected two (Residents #7 and #3) of five residents reviewed for pharmacy recommendations. The census was 112. Findings Include:1. Resident #7 was admitted to the facility on [DATE]. His diagnoses were acute respiratory failure, non-displaced intertrochanteric fracture of left femur, disorder of muscle, acute pulmonary edema, other acute osteomyelitis, cardiomyopathy, hypokalemia, peripheral vascular disease, congestive heart failure, atrial fibrillation, chronic kidney disease (stage IV), atherosclerotic heart disease, hypo-osmolality and hyponatremia, Type II Diabetes, ischemic cardiomyopathy, anxiety disorder, shortness of breath, depression, obesity, insomnia, muscle weakness, hypertension, edema, and umbilical hernia. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, medical record review, staff interview, and facility policy review, the facility failed to ensure transmission based precautions and personal protective equipment usage were followed as required. This had the potential to affect 21 (Residents #44, #15, #22, #27, #122, #137, #61, #138, #89, #13, #24, #114, #62, #58, #23, #115, #56, #38, #126, #90, and #66) of 112 residents in the facility. Also, the facility failed to use proper hand hygiene after administering medications and performing wound care treatment. This affected two (Residents #73 and #91) of six residents reviewed for infection control practices. The census was 112. Findings Include:1. Observations on 02/09/26 at 7:05 P.M. revealed Certified Nursing Assistant (CNA) #116 was in Resident #61's room with a mask around their chin. [...]
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and staff interview, the facility failed maintain a safe environment free of hazardous chemicals for one (Resident #97) of 17 residents on the 300 hall way. The census was 112.
December 4, 2025Complaint 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 resident record review, staff interviews, and review of facility policy, the facility failed to provide care and services to prevent falls. This affected two residents (Resident #15 and Resident #120) out of five residents reviewed for falls. The facility census was 100 residents.
June 11, 2025Complaint inspection · 3 citations
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, record review, review of hospital records, facility policy review and interview, the facility failed to ensure fall risk/safety interventions were in place to prevent falls for one resident (#103) with known history of falls from bed. Actual harm occurred on 04/20/25 when Resident #103 who had a severe cognitive impairment and required extensive assistance from two staff for bed mobility sustained a fall out of bed resulting in hospitalization and surgical repair for a nondisplaced intertrochanteric fracture with of left femur when Certified Nursing Assistant (CNA) #800 left the room with the resident's bed in high position and the fall mat leaned against the wall to retrieve personal care supplies in the facility supply room. [...]
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide timely care for surgical incision staple removal for Resident #103 and Resident #109. The facility also failed to obtain physician ordered daily weights for Resident #83. This affected two residents (#103 and #109) of three residents reviewed for wound/incisional care and one resident (#83) of three residents reviewed for implementation of physician orders. The facility census was 108.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review, skin assessments and interviews, the facility failed to ensure skin breakdown prevention interventions were in place. This affected one resident (#103) of one resident reviewed for pressure ulcers. The facility census was 108. Findings Include: Review of the medical record for Resident #103 revealed an initial admission date of 08/15/22 with the latest readmission of 04/26/25 with the diagnoses including but not limited to nondisplaced intertrochanteric fracture of left femur, sick sinus syndrome, anemia, mood disorder, contracture of muscle, multiple sites, attention-deficit hyperactivity disorder, overactive bladder, cerebrovascular accident with left sided hemiplegia, anxiety disorder, insomnia, depression, adult failure to thrive, osteoarthritis, constipation, personal history of traumatic brain injury and hypertension. [...]
April 2, 2025Complaint inspection · 2 citations
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review the facility failed to ensure timely notification to the resident and medical practitioner regarding a change in the resident's condition and need to alter the resident's treatmet plan. This affected one resident (#98) of nine residents reviewed for notification. The facility census was 104.
- 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 and medical record review the facility failed to develop a comprehensive resident centered pressure ulcer prevention care plan for one resident (#107) of five reviewed for prevention of alterations in skin integrity. The facility census was 104.
February 20, 2025Complaint inspection · 2 citations
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, medical record review, staff interview, and facility policy review, the facility failed to follow proper infection control and isolation precaution procedures. This affected four (Residents #18, #77, #80, and #81) of four residents reviewed for infection control procedures. The facility census was 102. Findings Include: Observations on 02/20/25 from 10:30 to 10:40 A.M. revealed Resident #77 and Resident #80 had personal protective equipment (PPE) carts in front of each of their rooms. But there were no signs outside of their doors indicating if they were actually on isolation precautions or what type of isolation precautions they were on. Interview with Licensed Practical Nurse (LPN) #103 on 02/20/25 at 10:35 A.M. confirmed Residents #77 and #80 were on contact/droplet isolation precautions for being diagnosed with influenza. [...]
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on medical record review, review of the facility self-reported incident (SRI), and staff interview, the facility failed to ensure all residents were treated with dignity and respect. This affected one (Resident #71) of two residents reviewed for dignity. The facility census was 102. Findings Include: Resident #71 was admitted to the facility on [DATE] with diagnoses including chronic respiratory failure, acute cystitis, hypothyroidism, type II diabetes, vitamin D deficiency, hyperlipidemia, anxiety disorder, atrial fibrillation, lymphedema, chronic obstructive pulmonary disease (COPD), insomnia, chronic kidney disease, myopia, mood disorder, hypertension, depression, bipolar disorder, morbid obesity, and dependent on supplemental oxygen. Review of her Minimum Data Set (MDS) 3.0 assessment, dated 01/13/25, revealed she was cognitively intact. [...]
October 10, 2024Complaint inspection · 10 citations
- G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review, staff interview, hospice staff interview, review of hospice visits notes and review of facility policy, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention program to timely identify, assess and implement treatment for Resident #51 related to a pressure ulcer to the left lateral foot. Actual harm occurred on 08/09/24 when Resident #51, who was cognitively impaired and dependent on staff for activity of daily living care was first identified by the facility to have an unstageable (full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough or eschar) pressure ulcer to the left lateral foot. [...]
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, medical record review and interviews, the facility failed to ensure Resident #31's call light was answered in a timely manner. This affected one resident (#31) of seven sampled residents. The facility census was 72. Findings Include: [...]
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, observations of photographs, interviews and facility policy review, the facility failed to report an injury of unknown origin for one resident (#51) with facial bruising who was dependent on staff to the required state agency. This affected one (Resident #51) of one resident reviewed for injury of unknown origin. The facility census was 72. Findings Include: [...]
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, observations of photographs, interviews and facility policy review, the facility failed to timely investigate an injury of unknown origin for one resident (#51) with facial bruising who was dependent on staff. This affected one (Resident #51) of one resident reviewed for injury of unknown origin. The facility census was 72. Findings Include: [...]
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to ensure fall interventions were in place for one resident (#43) with a known fall history. This affected one (Resident #43) of three residents reviewed for falls. The facility census was 72. Findings Include: Review of the medical record for Resident #43 revealed an initial admission date of 05/06/19 with the diagnoses including aphasia, history of falls, chronic kidney disease, dysphagia, constipation, dry eye syndrome, pain, atrial fibrillation, hyperlipidemia, non-traumatic intracerebral hemorrhage, dementia, major depressive disorder, hypertension, aphasia, generalized muscle weakness, gastro-esophageal reflux disease, gastrointestinal hemorrhage, retention of urine and age related nuclear cataract. [...]
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to ensure Resident #31's oxygen nasal cannula was stored in a sanitary manner. This affected one resident (#31) of seven sampled residents. The facility census was 72. Findings Include: [...]
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure timely availability of medication for administration for one resident (#31). This affected one (Resident #31) of three resident received for new medication. The facility census was 72. Findings Include: [...]
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interviews, the facility failed to timely obtain a physician ordered laboratory test for one resident (#31). This affected one (Resident #31) of three reviewed for a change in condition. The facility census was 72. Findings Include: [...]
- D
Keep all essential equipment working safely.
Inspectors wroteBased on medical record review, interviews and review of photographs, the facility failed to maintain resident equipment in good repair or a clean and sanitary manner. This affected one resident (#31) of three sampled residents. The facility census was 72. Findings Include: [...]
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to maintain a clean and sanitary environment. This affected one unit (500 unit) of four units. The facility census was 72. Findings Include: On 09/30/24 at 10:00 A.M., observation of Resident #31's carpeting revealed the carpet was stained with black and white spots. Interview with Resident #31 revealed the stains were present on the carpet when she was admitted and had offered to pay to have the carpeting shampooed. On 09/30/24 at 10:20 A.M., observation of room [ROOM NUMBER] (unoccupied) revealed the carpeting was stained black in multiple areas. On 09/30/24 at 10:21 A.M., observation of resident room [ROOM NUMBER] revealed the carpeting was stained black in multiple areas. On 10/03/24 at 10:30 A.M., interview with Licensed Practical Nurse (LPN) #155 verified the stained carpeting in rooms 506, 511,and Resident #31's room. [...]
August 20, 2024Complaint inspection, Infection control · 2 citations
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure staff used appropriate hand hygiene and personal protective equipment (PPE) to prevent the spread of Coronavirus (COVID-19). This had the potential to affect 16 residents (#5, #7, #10, #23, #25, #26, #32, #36, #37, #41, #46, #50, #59, #60, #62 and #77) who resided in the hall where staff delivered meal trays without implementation of appropriate COVID-19 protocols. The facility identified two residents (#3 and #52) as having active COVID-19 infection. The facility census was 79 residents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, review of hospital records, resident representative interview, staff interview, and review of facility policy, the facility failed to ensure appropriate care and services were provided to residents following accidents with injury. This affected one (Resident #99) of three residents reviewed for accidents. The facility census was 79 residents.
April 18, 2024Standard inspection, Complaint inspection · 9 citations
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on record review, interview, observation and policy review, the facility failed to ensure food was served at a palatable and warm temperature. The deficient practice affected four residents (#9, #10, #29, and #49) and had the potential to affect all residents who received meals from the kitchen except two residents (#32 and #34) who were identified by the facility as receiving nothing by mouth (NPO). The facility census was 80.
- 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, interview, and record review the facility failed to ensure food was properly date labeled, clean dishware was clean, and food was held at proper hot holding temperatures. The deficient practice had the potential to affect all residents who received meals from the kitchen except two residents (#32 and #34) who were identified by the facility as receiving nothing by mouth (NPO). The facility census was 80.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, interview, and facility policy review, the facility failed to ensure the primary care physician (PCP) was notified of elevated blood glucose levels outside of the physician ordered parameters. This affected one resident (#16) of five residents reviewed for unnecessary medications. The facility census was 80.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, observation, interviews and facility policy review, the facility failed to ensure nail care was provided for Resident #22 who was dependent on staff. This affected one resident (#22) of three residents reviewed for activities of daily living (ADL). The facility census was 80.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to identify an injury to Resident #35's left great toe and toenail. This deficient practice affected one resident (#35) out of two residents reviewed for general skin conditions. The facility census was 80.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation, interview and facility policy review, the facility failed to ensure pressure reducing devices were in place for Resident #17. This affected one resident (#17) of three residents reviewed for pressure ulcers. The facility census was 80.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, observation, interviews and facility policy review, the facility failed to ensure Residents #16 and #68 individualized fall preventative interventions were in place. This affected two residents (#16 and #68) of five residents reviewed for accidents. The facility census was 80.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to have a physician's order for the use of oxygen for Resident #35. This deficient practice affected one resident (#35) out of two residents reviewed for respiratory care. The facility census was 80.
- D
Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medical record review, observation, interview and facility policy review, the facility failed to ensure a medication error rate of less than five percent. Twenty-nine opportunities for error were observed with three medication errors made resulting in a 10.34 percent error rate. This affected two residents (#17 and #19) of three residents observed during medication administration. The facility census was 80.
June 28, 2023Standard inspection · 10 citations
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review, resident interview, staff interview, and facility document review, the facility failed to provide drinks and meals to residents in a timely/respectful manner. This affected 10 residents (#8, #13, #14, #15, #16, #35, #37, #39, #48, and #67) of 18 residents in the 300 hallway who receive meals by mouth. The facility census was 79.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observations, facility document review, resident interview, and staff interview, the facility failed to provide meals in a timely manner. This affected 32 residents (#3, #4, #5, #8, #11, #13, #14, #15, #16, #24, #30, #35, #37, #39, #43, #44, #48, #52, #58, #60, #61, #63, #64, #68, #67, #77, #181, #182, #183, #184, #185, and #186) of 32 residents who receive meals from the 100 and 300 hallways in the facility. The census was 79.
- E
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 policy revealed the facility failed to ensure the kitchen was maintained in a sanitary manner, food was labeled and dated, and residents were not served expired food. This affected Resident #27 and had the potential to affect 77 of the 79 residents residing in the facility. The facility identified two residents (#15 and #34) who ate nothing by mouth. The facility census was 79.
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, review of medical records, activities calendar, and policies, the facility failed to thoroughly assess and care plan activities and failed to ensure activities were available to two cognitively impaired residents (#61 and #68) on the weekends. This affected two residents (#61 and #68) of two residents reviewed for activities. The facility census was 79.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and staff interview, the facility failed the follow physician orders as written. This affected one resident (#12) of 17 resident physician orders reviewed. The facility census was 79.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and interview the facility failed to ensure accurate documentation and proper treatment for Resident #73's pressure ulcer and failed to ensure Resident #61's treatments for her pressure ulcer were completed and documented in the medical record. This affected two residents (#61 and #73) of four reviewed for pressure ulcers. The facility census was 79.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to complete weight/nutritional monitoring as needed. This affected two residents (#16 and #55) of seven residents reviewed for nutrition. The facility census was 79.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to provide adequate parameters for physician orders. This affected two residents (#17 and #10) of five residents reviewed for unnecessary medications. The facility census was 79.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview, and medical record review the facility failed to ensure Resident #68 was provided with a mechanical soft diet as ordered. This affected one resident (#68) of 17 on a mechanically altered diet. The facility census was 79.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent a catheter bag from lying on the floor causing potential infection control issues. This affected one resident (#73) of two residents reviewed for urinary catheters. The facility census was 79.
Fire safety inspections
5 fire safety citations on file: 1 on February 17, 2026, 2 on April 18, 2024, 2 on June 28, 2023.
Every fire safety citation5 citations
- 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 · February 17, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 18, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 18, 2024 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · June 28, 2023 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · June 28, 2023 · Corrected (the home has a date of correction)