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
4D
0E
1F
Potential for minimal harm
0A
0B
0C
February 27, 2026Standard inspection · 0 citations
October 31, 2024Standard inspection · 4 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, interview, and review of the facility's policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, which had the potential to affect 85 of the facility's 86 residents who consumed food from the kitchen. Observation of the walk-in freezer revealed multiple food items in their original containers but were not sealed or dated when opened.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, it was determined the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one of one residents (Resident (R) 81) reviewed who received tube feeding. Observation and interview on 10/30/2024 at 3:02 PM revealed Certified Nurse Aide (CNA) 2 had detached and placed R81's feeding pump on hold while she gave resident care which was not within her job description.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, it was determined the facility failed to ensure an account of all controlled drugs was maintained and reconciled for two of 14 residents (Residents (R) 3 and R41) who received narcotic medications in the facility.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review and review of the facility policy, it was determined the facility failed to establish and maintain an infection prevention and control program to help prevent the development and transmission of infections for one of 18 sampled residents (Resident (R) 81). Observation and interview on 10/30/2024 revealed Certified Nurse Aide (CNA) 2 detached R81's tube feeding and placed the uncovered/uncapped end on top of the feeding tube pump.
September 25, 2019Standard inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determine the facility failed to provide a sanitary environment to help prevent the development of infection one (1) of twenty-five (25) sampled residents (Resident #50). Observation revealed Certified Nurse Aide #1 used poor technique with incontinent care which contaminated an open area to the sacral area.
Fire safety inspections
6 fire safety citations on file: 4 on February 27, 2026, 1 on October 31, 2024, 1 on September 25, 2019.
Every fire safety citation6 citations
- F
Install an approved automatic sprinkler system.
K 351 · February 27, 2026 · Corrected (the home has a date of correction)
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · February 27, 2026 · Corrected (the home has a date of correction)
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
K 901 · February 27, 2026 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · February 27, 2026 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · October 31, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 25, 2019 · Corrected (the home has a date of correction)