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 49 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
29D
12E
7F
Potential for minimal harm
0A
0B
0C
April 14, 2026Standard inspection, Complaint inspection · 18 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, staff interview, and review of the facility policy, the facility failed to store food in a safe and sanitary manner. This had the potential to affect all 115 facility-identified residents who received food from the kitchen. The facility census was 119 residents.
- F
Hire a qualified full-time social worker in a facility with more than 120 beds.
Inspectors wroteBased on review of personnel records and staff interview, the facility failed to employ a full-time qualified Licensed Social Worker (LSW). This had the potential to affect all of the residents residing in the facility. The facility census was 119 residents.
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to ensure nursing staff followed proper hand hygiene protocols. This had the potential to affect all of the residents residing in the facility. Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to implement enhanced barrier precautions for one (Resident #23) of 40 residents with orders for EBP. The facility census was 119 residents.
- F
Put firmly secured handrails on each side of hallways.
Inspectors wroteBased on observation and staff interview, the facility failed ensure corridors were equipped with handrails on each side. This could potentially affect all 119 residents residing in the facility. The facility census was 119.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on record review, observation, resident interview, staff interview, and policy review the facility failed to provide a safe and clean environment for two Residents (#67 and #102) out of three Residents reviewed. The facility census was 119. 1) Review of the medical record for Resident #67 revealed an admission date of 12/01/25. Diagnoses included constipation, insomnia, vitamin-d deficiency, and spinal stenosis. Review of the Minimum Data Set (MDS) dated [DATE] for Resident #67 revealed he was cognitively intact. Review of the Interdisciplinary Team (IDT) Post Fall/Incident Investigation/Summary dated 02/18/26 at 3:30 P.M., revealed Registered Nurse (RN) #858 was notified by Certified Nursing Assistants (CNA) (#1001 and #511) that Resident #67 fell in the shower room. [...]
- E
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, resident interview, staff interview, and review of the facility policy, the facility failed to provide regular care conferences for the resident and/or resident representative. This affected four (Residents #18, #29, #55, and #142) of four residents reviewed for care conferences. The facility census was 119 residents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to provide nail care and personal care for dependent residents. This affected five (#42, #57, #76, #92 and #107) of six residents reviewed for activities of daily living (ADL) care. The facility census was 119 residents.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, staff interview, review of the facility menu, and review of the facility policy, the facility failed to implement the menu as planned by the Registered Dietitian (RD). This affected 15 facility-identified residents who received a renal diet. The facility census was 119 residents.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to provide dignified care for Resident #58 who had an indwelling Foley catheter. This affected one (#58) of the four residents (#23, #58, #66 and #102) reviewed for dignity. The facility census was 119. Review of the medical record for Resident #58 revealed an admission date of 03/07/26 with diagnoses of congestive heart failure, acute cystitis with hematuria, chronic kidney disease state III and major depressive disorder. Review of the Minimum Data Set (MDS) admission assessment dated [DATE], revealed Resident #58 had moderate cognitive impairment and was always incontinent for bowel and had a catheter for the bladder. [...]
- 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 closed record review, staff interview and policy review, the facility failed to notify a resident's representative of medication changes. This affected one (#138) of the three residents reviewed for notification of change of status. The facility census was 119. Review of the closed medical records for Resident #138 revealed the resident was admitted to facility on 12/13/21. Diagnosis included cerebellar ataxia, dysphasia, vascular dementia, polyneuropathy, chronic pain syndrome, lower left extremity above the knee amputation and schizoaffective disorder. Resident was discharged to another skilled nursing facility on 11/11/25. Review of the closed medical record for Resident #138 dated 04/03/25, revealed an informed consent being done for genetic testing on 04/03/25 with a verbal consent being obtained from Resident #138 despite being severely cognitively impaired. [...]
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on medical record review, review of Notice of Medicare Non-Coverage (NOMNC) documents, staff interview and facility policy, the facility failed to ensure the NOMNC was accurately completed. This affected three (Residents #143, #144 and #146) of five residents reviewed for Beneficiary Notification. The facility census was 119. 1) Review of the medical record revealed Resident #143 was admitted to the facility on [DATE] and discharged on 02/23/26. Diagnoses included asthma with acute exacerbation, diabetes mellitus type II and morbid obesity. Review of the census profile for Resident #143 revealed the resident was admitted to the facility on [DATE], transitioned to Medicare Part A on 02/01/26, and was discharged from the facility on 02/23/26. Review of the Minimum Data Set (MDS) Discharge-Return Not Anticipated assessment dated [DATE] revealed Resident #143 had intact cognition. [...]
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews, record review, review of facility's Self-Reported Incidents (SRI), and policy review, the facility failed to timely report an allegation of a missing item. This affected one (#02) resident of the one resident reviewed for reporting of potential abuse and misappropriation. The facility total census was 119. Record review of Resident #02 revealed the resident was admitted to the facility on [DATE]. Diagnoses for Resident #02 include respiratory failure, hypertension, diabetes, end stage renal disease, obesity, anxiety disorder, dependent on dialysis, cardiac defibrillator, and metabolic encephalopathy. Review of the Minimum Data Set (MDS) comprehensive assessment dated [DATE] revealed Resident #02 had intact cognition and was dependent on staff assistance with Activities of Daily Living skill (ADL) and mobility. [...]
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on staff interviews, record review, review of facility's Self-Reported Incidents (SRI), and policy review, the facility failed to thoroughly investigate an allegation of misappropriation. This affected one (#02) resident of the one resident reviewed for reporting of potential abuse and misappropriation. The facility total census was 119. Record review of Resident #02 revealed the resident was admitted to the facility on [DATE]. Diagnoses for Resident #02 include respiratory failure, hypertension, diabetes, end stage renal disease, obesity, anxiety disorder, dependent on dialysis, cardiac defibrillator, and metabolic encephalopathy. Review of the Minimum Data Set (MDS) comprehensive assessment dated [DATE] revealed Resident #02 had intact cognition and was dependent on staff assistance with Activities of Daily Living skill (ADL) and mobility. [...]
- 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 medical record review, observation, staff interview, and resident interview, the facility failed to develop comprehensive care plans for residents regarding pain management and refusal of medications. This affected two (Residents #79 and #3) of three residents reviewed for care plans. The facility census was 119 residents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure timely care and treatment for a resident exhibiting a change in condition. This affected one (Resident #141) of 26 residents sampled. Based on medical record review, staff interview, and review of the facility policy, the facility also failed to arrange follow-up medical tests. This affected one (Resident #138) of 26 residents sampled. The facility census was 119 residents.
- 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, staff interview, resident interview, and review of the facility policy, the facility failed to ensure staff assessed residents for smoking safety and implemented safe smoking interventions. This affected one (Resident #126) of four residents reviewed for accidents and hazards. Based on medical record review, observation, staff interview, resident interview, and review of the facility policy the facility also failed to ensure staff maneuvered resident shower chairs in a safe manner to prevent falls. This affected one (Resident #67) of four residents reviewed for accidents and hazards. The facility census was 119 residents.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, observation, staff interview, resident interview, and review of the facility policy, the facility failed to ensure staff followed residents' fluid restrictions. This affected three (Residents #6, #111 and #29) of three residents reviewed for fluid restrictions. The facility census was 119 residents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on medical record review, staff interview, resident interview, and review of the facility policy, the facility failed to routinely assess and document resident pain and monitor the effectiveness of pain medications. This affected one (Resident #79) of three residents reviewed for pain management. The facility identified 33 residents on a pain management program. The facility census was 119 residents.
September 22, 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 medical record review, review of an incident report, staff interviews, and policy review, the facility failed to ensure residents were free from avoidable accidents during transfers with a mechanical (Hoyer) lift. This affected one (#6) out of three residents reviewed for accidents. The facility census was 110.
February 4, 2025Complaint inspection · 3 citations
- F
Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on observation, staff interview and review of employee personnel file, the facility failed to ensure the activities program was directed by a qualified professional. This had the potential to affect all 116 residents who resided at the facility.
- F
Hire a qualified full-time social worker in a facility with more than 120 beds.
Inspectors wroteBased on record review, observation, and staff interview, the failed to ensure employment of a full-time, qualified social worker. This had the potential to affect all 116 residents who resided at the facility.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on medical record review, review of facility policy, staff interview, hospital social worker interview, dialysis staff interview, review of a a job description for a social worker, and review of facility policy, the facility failed to ensure a resident received hemodialysis as ordered by not assisting and coordinating transportation. This affected one Resident (#117) of the two residents reviewed for dialysis. The facility also failed to ensure active and ongoing communication between the facility and the dialysis center was maintained. This affected one Residents (#05) of the two reviewed for receiving dialysis. The facility census was 116.
October 25, 2024Standard inspection, Complaint inspection · 7 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 dented cans were not in circulation for use. Additionally, the facility failed to ensure residents' food items stored in unit refrigerators were labeled and dated and further failed to ensure unit refrigerators were clean and consistently monitored to ensure appropriate food storage temperatures. This had the potential to affect all residents except three (#77, #94 and #100) identified by the facility as receiving no food by mouth. The facility census was 111.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview and medical record review and review of facility policy, the facility failed to ensure dignity was maintained during mobility assistance for Resident #54. This affected one resident (#54) of four residents reviewed for dignity. The facility census was 111.
- D
Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on review of resident fund authorizations and staff interview, the facility failed to ensure resident authorization to establish a Resident Funds Trust Account was witnessed by someone who was not an employee of the facility. This affected two residents (#9 and #73) of six residents reviewed for resident funds. The facility census was 111.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on review of resident fund documents and staff interview, the facility failed to notify residents when available funds were within the $200.00 Medicaid resource limit. This affected one resident (#7) of six residents reviewed for personal funds. The facility census was 111.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, medical record review, staff interview, pharmacist interview and review of facility policy, the facility failed to ensure resident's were free from significant medication errors during insulin administration. This affected one resident (#1) of six residents reviewed for medication administration. The facility census was 111.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on medical record review, observation, staff interview, review of the Individual Control Drug Record (ICDR)and review of facility policy, the facility failed to ensure a narcotic medication was accurately labeled to reflect current physician orders. This affected one resident (#367) of six residents reviewed for medication administration. The facility census was 111.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review, staff interview and review of facility policy, the facility failed to ensure resident medical records contained complete and accurate information. This affected one resident (#367) of six residents reviewed for medication administration. The facility census was 111.
September 19, 2024Complaint inspection · 1 citation
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on record review, staff interview, review of job description, the facility failed to ensure they employed a qualified Dietary Manager. This had the potential to affect all 115 residents who received food from the kitchen. The facility census was 115.
June 18, 2024Complaint inspection · 1 citation
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to follow the physician's order for a resident's pressure ulcer treatment. This affected one (Resident #65) of three residents reviewed for pressure ulcers. The facility census was 106.
May 28, 2024Complaint inspection · 1 citation
- 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 NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, observation, staff interviews, interview with the Medical Director (MD), review of hospital records, review of facility investigation, review of witness statements, review of personnel records, review of Hoyer Lift Manufacturer Guidelines, and review of facility policy, the facility failed to ensure a resident was safely transferred by a Hoyer mechanical lift. This resulted in Actual Harm on 12/19/23 when Resident #15 was being transferred from the wheelchair to the bed with the use of a mechanical lift by former State Tested Nursing Assistant (STNA) #30 and STNA #30 hit the resident's right leg on the mechanical lift support bar. [...]
January 5, 2024Complaint inspection, Infection control · 1 citation
- 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, staff interview, and facility policy review, the facility failed to promptly notify the resident representative when residents tested positive for COVID-19 and/or were exposed to COVID-19 and were placed under isolation precautions. This affected two (Residents #38 and #105) of three residents reviewed for notification of change. The census was 104.
December 13, 2023Complaint inspection · 3 citations
- E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, review of facility policy, and interview, the facility failed to ensure a contracted entity had appropriate State of Ohio required credentials for provision of services for residents. This deficiency affected four of four Residents (#10, #62, #92, and #97) reviewed for medications administered by a contracted ancillary provider. This affected six current Residents (#5, #50, #57, #67, #74 and #77) and 13 discharged Residents (#84, #85, #87, #88, #89, #90, #91, #92, #93, #94, #95, #96 and #97). The census was 108.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, review of facility policy, and interview, the facility failed to ensure medications were obtained from a source with a Terminal Distributor of Dangerous Drugs (TDDD) license (which allows a business entity to purchase, possess, and/or distribute dangerous drugs at a specific location) specific to the State of Ohio. This deficiency affected four of four Residents (#10, #62, #92, and #97) reviewed for medications administered by a contracted ancillary provider. This affected six current Residents (#5, #50, #57, #67, #74 and #77) and 13 discharged Residents (#84, #85, #87, #88, #89, #90, #91, #92, #93, #94, #95, #96 and #97). [...]
- E
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, review of facility policy, and interview, the facility failed to ensure a contracted entity had appropriate State of Ohio required credentials for provision of services for residents. This deficiency affected four of four Residents (#10, #62, #92, and #97) reviewed for medications administered by a contracted ancillary provider. This affected six current Residents (#5, #50, #57, #67, #74 and #77) and 13 discharged Residents (#84, #85, #87, #88, #89, #90, #91, #92, #93, #94, #95, #96 and #97). The census was 108.
November 2, 2023Complaint inspection · 2 citations
- D
Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record review, staff interviews, review of facility investigation, and policy review, the facility failed to ensure a resident's discharge was safe, orderly and the accurate medications were provided to a resident upon discharge. The facility also failed to implement an effective discharge planning process by failing to confirm home health services needed post discharge were in place prior to discharge. This affected one (#10) of the three residents reviewed for discharges. The facility census was 108.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and staff interview, the facility failed to complete a discharge summary of recapitulation of resident's stay. This affected one (#10) out of three residents reviewed for discharge rights. The facility census was 108.
September 19, 2023Complaint inspection · 2 citations
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure medication carts and a medication room was locked. This had the potential to affect eight residents (#11, #12, #13, #14, #15, #16, #17, and #18) identified by the facility as independently mobile with confusion, The facility census was 102.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, interview, and policy review, the facility failed to check orders for as needed medications prior to administrating. This affected one (Resident #17) of six residents reviewed for medication administration. The in-house facility census was 102.
September 26, 2022Standard inspection · 9 citations
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure fall prevention interventions were put in place for a resident at high risk for falls and per the resident's plan of care. This affected one (Resident #85) of five residents reviewed for accidents. The facility also failed to ensure resident smoking materials were safely stored and secured. This affected three (Residents #3, #68, and #97) of 18 facility identified residents who smoked. The facility census was 108.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to ensure expired medications were discarded. This affected the following residents (Residents #33, #34, #36, #72, and #202) of 25 facility identified residents receiving insulin. This had the potential to affect Residents #57, #58, #70, and #85 who resided on the second floor with orders for bisacodyl suppositories. This had the potential to affect Residents #36 and #70 who resided on the second floor with orders for promethazine suppositories. This had the potential to affect all residents on the second floor with the exception of Residents #91 and #94 who the facility identified as having contraindication to receiving tuberculin skin testing solution. The facility census was 108.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure food was served at safe and appropriate temperatures. This had the potential to affect all residents residing in the facility with the exception of five residents (Residents #52, #63, #70, #77 and #92) identified by the facility as not receiving food prepared in the facility kitchen. The facility census was 108.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on record review, resident interview, staff interview, and review of the facility policy, the facility failed to ensure resident, and resident's representative were notified of resident's room move. This affected one (Resident #85) of 26 residents reviewed for room change notification. The facility census was 108.
- 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 record review and staff interview, the facility failed to ensure the medical record accurately reflected a resident's advance directive. This affected one (Resident #8) of 32 residents reviewed for advance directives. The facility census was 108.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, resident and staff interviews, medical record review, and policy review, the facility failed to ensure residents, who required extensive staff assistance or dependent on staff for activities of daily living (ADL) care, received adequate and timely hygiene care and assistance with meals. This affected three (Resident #18, #28 and #54) of five residents reviewed for ADL. The facility identified 102 residents who required assistance for dressing, 72 residents who required assistance with eating, and all 108 residents required assistance with bathing. The facility census was 108.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident who was at nutrition risk and had a unplanned significant weight loss received a timely nutritional assessment and intervention(s). This affected one (Resident #47) of seven residents reviewed for nutrition. The facility identified eight resident with unplanned significant weight loss/gain. The facility census was 108.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, resident and staff interview, and review of the facility policy, the facility failed to ensure residents received medications as physician ordered. This affected one (Resident #85) of five residents reviewed for medications. The facility census was 108.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review, staff interview, and review of the facility policy, the facility failed to ensure residents on as needed anti-anxiety medications had a duration or stop date for the medication. This affected one (Resident #85) of five residents reviewed for unnecessary medications. The facility identified seven residents with orders for anti-anxiety medications. The facility census was 108.
Fire safety inspections
17 fire safety citations on file: 8 on April 14, 2026, 5 on October 25, 2024, 4 on September 26, 2022.
Every fire safety citation17 citations
- F
Use approved construction type or materials.
K 161 · April 14, 2026 · Not yet corrected
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K 232 · April 14, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 14, 2026 · Corrected (the home has a date of correction)
- F
Have properly installed electrical wiring and gas equipment.
K 511 · April 14, 2026 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · April 14, 2026 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · April 14, 2026 · Corrected (the home has a date of correction)
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
K 343 · April 14, 2026 · Corrected (the home has a date of correction)
- E
Have power receptacles that are properly grounded.
K 912 · April 14, 2026 · Corrected (the home has a date of correction)
- F
Use approved construction type or materials.
K 161 · October 25, 2024 · fire safety evaluation s
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · October 25, 2024 · Corrected (the home has a date of correction)
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · October 25, 2024 · Corrected (the home has a date of correction)
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · October 25, 2024 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of portable space heaters.
K 781 · October 25, 2024 · Corrected (the home has a date of correction)
- F
Use approved construction type or materials.
K 161 · September 26, 2022 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · September 26, 2022 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · September 26, 2022 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · September 26, 2022 · Corrected (the home has a date of correction)