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 5 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
0F
Potential for minimal harm
0A
0B
0C
March 10, 2026Standard inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, medical record reviews, resident interviews, staff interviews, and facility policy review, the facility failed to ensure call lights were within reach of residents. This affected two residents (#11 and #12) of seven residents reviewed for call lights. The facility census was 69.
April 24, 2025Standard inspection · 3 citations
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review, staff interview, and observations, the facility failed to ensure all residents were treated in a dignified manner. This affected four (Resident #40, Resident #6, Resident #22, Resident #34) of 29 residents that required a mechanical lift for transfers. The facility census was 64.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, record review and facility policy review, the facility failed to ensure respiratory equipment was dated to make certain it was changed at appropriate intervals to decrease the risk of acquired pneumonia or infection. This affected three residents (#26, #27, #127) of six residents reviewed for respiratory care. The facility census was 64.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the accuracy of medical records. This affected one of 32 residents whose records were reviewed, Resident #40. Facility census was 64.
October 27, 2022Standard inspection · 1 citation
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased observation, interview, record review, and policy review the facility failed to ensure monitoring and evaluation of bilateral wrist restraints was documented while used for Resident #28. This affected one resident (Resident #28) of two residents reviewed for abuse, neglect, and exploitation. The facility reported one resident (Resident #28) who had physical restraints. The facility census was 66.
Fire safety inspections
12 fire safety citations on file: 4 on March 10, 2026, 3 on April 24, 2025, 5 on October 27, 2022.
Every fire safety citation12 citations
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · March 10, 2026 · 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 · March 10, 2026 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · March 10, 2026 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · March 10, 2026 · Corrected (the home has a date of correction)
- F
Have proper power supply for life support equipment.
K 915 · April 24, 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 · April 24, 2025 · Corrected (the home has a date of correction)
- E
Have properly sized and located compartments to protect residents from smoke.
K 371 · April 24, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · October 27, 2022 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · October 27, 2022 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · October 27, 2022 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · October 27, 2022 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of portable space heaters.
K 781 · October 27, 2022 · Corrected (the home has a date of correction)