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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
3E
0F
Potential for minimal harm
0A
0B
0C
January 28, 2026Complaint inspection · 3 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 clinical record review, staff interviews and facility policy review, the facility failed to notify the Physician and family of an allegation of abuse for 1 of 1 resident reviewed (Resident #1). The facility reported a census of 53 residents.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews, facility investigation review, and facility policy review the facility failed to notify DIAL (Department of inspection, appeals and licensing) and the law enforcement of an allegation of abuse for Resident #1 that was reported on 1/6/25 at approximately 4:15 PM. The facility reported a census of 53 residents.
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on staff interviews, facility investigation review, facility payroll review and facility policy review the facility failed to separate a staff member from dependent residents accused of alleged abuse that was reported on 1/6/26 at approximately 4:15 PM for Resident #1. The facility reported a census of 53 residents.
December 11, 2025Standard 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 observation, staff interview and policy review the facility failed to ensure that kitchen staff used adequate hand hygiene practices to mitigate cross contamination during the meal service. The facility reported a census 52 residents.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to properly protect resident information from unauthorized access by leaving 16 residents' information accessible when staff walked away from the Electronic Health Record (EHR) laptop. The facility reported a census of 52 residents.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on clinical record review and staff interview the facility failed to identify non-pharmacological interventions and targeted behaviors related to high risk medications in 1 out of 5 residents reviewed (Resident #3). The facility reported a census of 52 residents.
- 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 electronic record review (EHR), staff interviews, and policy review the facility failed to develop a comprehensive care plan related to a resident with a diagnosis of dementia for 1 of 5 residents reviewed (Resident #3). The facility reported a census of 52 residents.
- 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, staff interview, and policy review, the facility failed to lock the wheelchair during a resident transfer for 1 of 1 residents (#17) reviewed for safe transfers. The facility reported a census of 52 residents.
October 14, 2025Complaint inspection · 2 citations
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, staff interviews, and policy review, the facility failed to complete a discharge summary and discharge Plan of Care for 4 of 4 residents (#1, #3, #4, #5) reviewed. The facility reported a census of 49 residents.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review, staff interviews, and policy review, the facility failed to inform residents of an option to appeal a discharge from Medicare Part A Skilled Services for 1 of 4 residents (#1). The facility reported a census of 49 residents.
November 21, 2024Standard inspection · 0 citations
November 9, 2023Standard inspection · 2 citations
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, staff interview, and instructions on CMS form 10123-NOMNC, the facility failed to provide appropriate notices of Medicare Non Coverage to 3 of 3 residents (Residents #13, #99 & #100) reviewed. The facility reported a census of 47 residents.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to offer and provide the pneumococcal immunization for 1 of 5 residents (Resident #35) reviewed. The facility reported a census of 47 residents.
Fire safety inspections
15 fire safety citations on file: 4 on December 11, 2025, 7 on November 21, 2024, 4 on November 9, 2023.
Every fire safety citation15 citations
- F
Conduct risk assessment and an All-Hazards approach.
E 6 · December 11, 2025 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · December 11, 2025 · Corrected (the home has a date of correction)
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · December 11, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 11, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · November 21, 2024 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · November 21, 2024 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · November 21, 2024 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · November 21, 2024 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 21, 2024 · Corrected (the home has a date of correction)
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · November 21, 2024 · Corrected (the home has a date of correction)
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · November 21, 2024 · Corrected (the home has a date of correction)
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K 354 · November 9, 2023 · Corrected (the home has a date of correction)
- F
Provide a written emergency evacuation plan.
K 711 · November 9, 2023 · Corrected (the home has a date of correction)
- D
Use approved construction type or materials.
K 161 · November 9, 2023 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · November 9, 2023 · Corrected (the home has a date of correction)