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
1G
0H
0I
Potential for more than minimal harm
3D
1E
0F
Potential for minimal harm
0A
0B
0C
June 15, 2026Complaint inspection · 1 citation
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, clinical record review, review of facility investigation documentation, and staff interviews, it was determined that the facility failed to provide adequate supervision and implement interventions to prevent falls, which resulted in actual harm as evidenced by a fall resulting in a laceration requiring sutures for one of three residents reviewed (Resident 1).
March 31, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
March 13, 2025Standard inspection · 4 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, facility policy review, and staff interview, it was determined that the facility failed to ensure that food was prepared and served under sanitary conditions in the main facility kitchen.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of facility policy, observations, and interviews with staff, it was determined that the facility failed to ensure that care and services were provided in a manner that enhanced resident dignity for one of eighteen residents reviewed (Resident 42).
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on document review and staff interview, it was determined that the facility failed to ensure each resident is informed periodically of items and services not covered under Medicare for one of three residents reviewed after their Medicare stay (Resident 6). Findings Include: A review of the Skilled Nursing Facility Beneficiary Notification Review form revealed Medicare services ended for Resident 6 on February 19, 2025. A continued review of documents provided by the facility revealed that Resident 6 was not provided with the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN) form to notify Resident 6 and/or her Representative of the cost of the facility's items and services no longer covered under Medicare. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure staff implemented infection control policies to prevent the spread of infection by using proper hand hygiene techniques for one of one medication observations (South Mountain). Findings Include: Review of facility policy titled, Hand Hygiene, last reviewed and revised January 2025, revealed that staff should perform hand hygiene immediately before touching a resident, after touching a resident or the resident's immediate environment, and immediately after glove removal. Observation on March 12, 2025, at 8:00 AM, revealed Employee 1 (Licensed Practical Nurse) preparing Resident 42's medications. The medications included oral medications and injectable medication. [...]
April 4, 2024Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 4 on March 13, 2025, 2 on April 4, 2024, 3 on June 29, 2023.
Every fire safety citation9 citations
- E
Have properly installed electrical wiring and gas equipment.
K 511 · March 13, 2025 · Corrected (the home has a date of correction)
- D
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · March 13, 2025 · Corrected (the home has a date of correction)
- D
Have properly located and lighted "Exit" signs.
K 293 · March 13, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 13, 2025 · Corrected (the home has a date of correction)
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
K 225 · April 4, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 4, 2024 · Corrected (the home has a date of correction)
- D
Have an enclosure around a vertical opening shaft.
K 311 · June 29, 2023 · Corrected (the home has a date of correction)
- D
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · June 29, 2023 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · June 29, 2023 · Corrected (the home has a date of correction)