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 50 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
33D
13E
4F
Potential for minimal harm
0A
0B
0C
June 30, 2026Complaint inspection · 1 citation
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure routine catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) care was performed per professional standards of practice for Resident (R)1.
January 28, 2026Standard 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 wroteThe facility identified a census of 97 residents, with one kitchen and dining room. Based on observation, record review, and interviews, the facility failed to follow sanitary dietary standards related to food and equipment storage.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThe facility identified a census of 97 residents. The sample included 21 residents, with one resident reviewed for quality of care. Based on observation, record review, and interviews, the facility failed to follow a physician order for daily weights to monitor for fluid overload for Resident (R) 9.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteThe facility identified a census of 97 residents. The sample included 21 residents, with one resident reviewed for respiratory care. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 4's nebulizer (a device that changes liquid medication into a mist easily inhaled into the lungs) mask was stored in a sanitary manner.
- D
Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteThe facility identified a census of 97 residents. The sample included 21 residents, with one resident reviewed for trauma-informed care (treatment or care directed to prevent re-experiencing or reducing the effects of traumatic events). Based on observation, record review, and interviews, the facility failed to identify trauma-based triggers related to Resident (R) 6's post-traumatic stress disorder (PTSD- a mental disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress) and failed to implement individualized interventions to prevent re-traumatization.
March 13, 2024Standard inspection, Complaint inspection · 33 citations
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteThe facility identified a census of 81 residents. Based on record review and interviews, the facility failed to designate a staff member with the required qualification and certification as the Infection Preventionist, who was responsible for the facility's Infection Prevention and Control Program. This deficient practice placed all residents at risk for lack of identification, tracking/trending, and treatment of infections.
- F
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteThe facility reported a census of 81 residents. The sample included 21 residents. Five Certified Nurse Aides (CNA) were sampled for prevention of abuse, neglect, and exploitation training. Based on record review, and interviews the facility failed to provide evidence of the required prevention of abuse, neglect, and exploitation training for the two of the five CNAs that were sampled.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteThe facility had a census of 81 residents. The sample included 21 residents and five Certified Nurse Aides (CNAs) reviewed for required in-service training. Based on record review and interview, the facility failed to ensure five of the five CNA staff reviewed had the required 12 hours of in-service education and two of the five CNA staff had the required in-service education for dementia (a progressive mental disorder characterized by failing memory, confusion) care. This placed the residents at risk for inadequate care.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteThe facility reported a census of 81. Based on observations, record reviews, and interviews, the facility failed to adequately address and resolve recurring issues reported by the Resident Council. This deficient practice placed the residents at risk for decreased psychosocial well-being and impaired quality of life. Findings Included: - A review of the Facility's Council Minutes from 03/2023 through 03/2024 indicated the council had recurring concerns with missing property and clothing, slow call light response and staff response time, staff cell phone use, lack of healthy snacks, specialized diets, and grievances not being resolved. The 03/2023 Resident Council Minutes documented recurring concerns related to call lights not being answered in the evening and missed showers for residents. [...]
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteThe facility identified a census of 81 residents. The sample includes 21 residents. Based on observation, record review, and interviews, the facility failed to implement a system to allow residents and/or their representatives to file grievances anonymously. The facility additionally failed to maintain the results of all grievances for the required three years. This deficient practice placed the residents at risk for decreased psychosocial well-being and unresolved grievances and concerns. Findings Included- - A review of the facility's Grievance Logs from March 2023 through March 2024 revealed the facility was missing logs from November 2023 through February 2024. The facility was unable to provide the missing documentation as requested on 03/13/24. [...]
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents. Based on record review and interviews, the facility failed to fully complete the comprehensive Minimum Data Set (MDS) assessment Section V, Care Area Assessment Summary (CAA) for Resident (R) 1, R3, R16, R17, R30, R3, R50, R52, R67, R80, R81, and R286 to include an analysis and rationale for care planning decisions. This placed these residents at risk for not accurately reflecting each resident's needs to develop an individualized comprehensive plan of care.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 81 residents. The sample included 21 residents with three residents reviewed for accident/fall prevention. Based on observation, record review, and interview the facility failed to ensure an environment free from accident hazards when staff failed to secure chemicals in a safe, locked area, and out of reach of the thirteen cognitively impaired, independently mobile residents. The facility additionally failed to utilize safe assistive techniques related to Resident (R)61's wheelchair foot pedals and safe mechanical lift transfer techniques for R17 and R30. This deficient practice placed the residents at risk for preventable accidents and injuries. Findings Included: - On 03/11/24 at 07:14 AM a walkthrough of the facility was completed. [...]
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteThe facility had a census of 81 residents. The sample included 21 residents and two medication carts. Based on observation, record review, and interview the facility failed to provide a consistent reconciliation of controlled drugs at the end of each work shift on one cart. This placed the 16 residents with controlled substances on the cart at risk for misappropriation of medications.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility identified a census of 81 residents. The facility had one main kitchen and three dining areas. Based on observation, record review, and interview, the facility failed to ensure food was appropriately labeled and dated during storage. The facility failed to ensure tableware was stored appropriately before meal service. The facility failed to ensure dining staff handled plates in a sanitary manner. This placed the residents at risk for foodborne illness.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteThe facility identified a census of 81 residents. Based on observation, record review, and interviews, the facility failed to ensure proper infection control standards were followed related to the disinfecting of shared equipment and the sanitary storage of respiratory equipment. The facility failed to ensure the appropriate chemicals were used to clean a clostridium difficile (C-diff: contagious bacteria characterized by foul-smelling frequent loose bowel movements) isolation room and failed to post the correct type of isolation precautions for Resident (R) 236, who had a C-diff infection. This deficient practice placed the residents at risk for complications related to infectious diseases.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with two residents reviewed for dignity. Based on observation, record review, and interviews the facility failed to provide care in a respectful, dignified manner for Resident (R) 286 when staff failed to place R286's catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) urine collection bag inside a dignity bag and failed to provide a dignified dining experience for R16 when staff stood beside R16 while assisting with a meal. This placed the residents at risk for impaired dignity and quality of life.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteThe facility had a census of 81 residents. The sample included 21 residents. Based on observation, record review, and interview, the facility failed to include Resident (R) 12 in the development and planning of the resident's care plan, which placed R12 at risk of impaired care and autonomy.
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with two reviewed for reasonable accommodation of needs related to assistive devices. Based on observation, record review, and interviews, the facility failed to ensure Resident (R)80's call light remained within his reach. The facility additionally failed to honor R12's preferences related to his bathing. This deficient practice left both residents vulnerable to impaired care and decreased autonomy. Findings Included: [...]
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteThe facility reported a census of 81 residents. The sample included 21 residents with two residents reviewed for personal property. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 81's right to private communications when R81's package was opened. This placed R81 at risk for impaired privacy and decreased autonomy.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteThe facility identified a census of 81 with 21 residents included in the sample. The facility identified seven residents who were discharged from Medicare Part A services. Based on interview and record review the facility failed to issue CMS (Center for Medicare/Medicaid Services) Skilled Nursing Facility Advance Beneficiary Notification (SNF ABN) form 10055 (the form used to notify Medicare A participants of potential financial liability when a Medicare Part A episode ends) for Resident (R) 12 and R 18. This failure placed the residents at risk for decreased autonomy and impaired decision-making.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with three residents sampled for discharge. Based on observation, record review, and interview the facility failed to provide notification to the State Long-term Care Ombudsman (LTCO) for Resident (R) 43 and R16's facility-initiated transfers. The facility failed to provide written notice of transfer as soon as practicable to R43 and R16 or their representative for their facility-initiated transfers. This deficient practice had the risk of miscommunication between the facility and resident/family and possible missed opportunities for healthcare service for R43 and R16.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with three residents sampled for discharge. Based on observation, record review, and interview, the facility failed to provide a bed hold with the required information to Resident (R) 43 and R16 and/or to their family representative when they were transferred to the hospital. This deficient practice placed the residents at risk for impaired ability to return to the facility or his same room.
- D
Assess the resident when there is a significant change in condition
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents. Based on observation, record review and interviews, the facility failed to complete a comprehensive Significant Change Minimum Data Set (MDS) assessment of Resident (R) 24 after the addition of hospice services to identify needs, in order to develop an individualized comprehensive plan of care.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents. Based on observation, record review, and interviews, the facility failed to complete an accurate Minimum Data Set (MDS) assessment for Resident (R) 47's status regarding the use of a restraint. This deficient practice placed R47 at risk for inappropriate care planning and care needs.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with 21 residents reviewed for baseline care plans. Based on observation, record review, and interviews, the facility failed to identify Resident (R)82's required level of care assistance and her high-risk medication (Seroquel- antipsychotic medication used to treat major mental conditions that cause a break from reality) on her care plan. The facility additionally failed to complete a baseline care plan for R81. This deficient practice placed both residents at risk for preventable falls and injuries due to uncommunicated care needs.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteThe facility identified a census of 81. The sample included 21 with 21 reviewed for comprehensive care plans. Based on observation, record review, and interview, the facility failed to develop comprehensive care plans for Resident (R)80, R30, and R81. The deficient practice placed the residents at risk for impaired care due to uncommunicated care needs. Findings Included: -R80 admitted to the facility on [DATE]. [...]
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with 21 residents reviewed for care plan revisions. Based on observation, record review, and interviews, the facility failed to revise Resident (R)61's plan of care to include her spironolactone medication (diuretic- medication to promote the formation and excretion of urine) and R24's plan of care to include her Eliquis medication (anticoagulant- used to treat and prevent blood clots). The facility additionally failed to revise R52's Care Plan to include her ordered left-hand splint. The deficient practice placed the residents at risk for impaired care due to uncommunicated care needs. Findings Included: - R61 admitted to the facility on [DATE]. [...]
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with five residents reviewed for activities of daily living (ADLs). Based on observation, record review, and interviews, the facility failed to provide the necessary assistance with personal hygiene for Resident (R) 30. This deficient practice placed R30 at risk for poor hygiene, decreased self-esteem, and impaired dignity.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with five residents reviewed for quality of care. Based on observation, record review, and interview, the facility failed to provide services to maintain Resident (R) 31's highest practicable level of physical function and promote comfort. The facility further failed to implement the protective sleeve (sleeve used to protect the skin on the arms and legs against damage caused by friction and shearing) to R67's right arm per the order and care plan. This deficient practice placed R31 at risk for increased impairment, pain, and contractures (abnormal fixation of a joint or muscle) and placed R67 at risk for skin injury.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 with five reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on interviews, observations, and record reviews, the facility failed to ensure Resident (R)80's low air-loss mattress pump was set to a tolerable comfort level and correct for his current weight. The facility additionally failed to utilize pressure-relieving boots for R30. This deficient practice placed both residents at risk for complications related to skin breakdown and pressure ulcers. Findings Included: [...]
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with five residents reviewed for position, and mobility. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 52's splint was applied as directed, to prevent an avoidable reduction of range of motion (ROM) and/or mobility of her left hand. This deficient practice left R52 at risk for further decline and decreased ROM or mobility.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with two residents reviewed for respiratory care. Based on observation, record review, and interviews, the facility failed to provide adequate respiratory care and services for Resident (R)12 when staff failed to ensure orders to clarify settings and failed to ensure sanitary storage for R12's respiratory equipment. This placed R12 at an increased risk for respiratory infection and complications.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteThe facility had a census of 81 residents. The sample included 21 residents of which two residents were reviewed for pain. Based on observation, record review, and interview the facility failed to recognize, evaluate, manage, and treat the underlying cause of pain for Resident (R) 286. This deficient practice resulted in unmanaged pain which also placed the resident at risk for impaired mobility and diminished quality of life.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to ensure the Consultant Pharmacist (CP) identified and reported Resident (R) 1 and R16's medications lacked an indication for use. The deficient practice placed the residents at risk of unnecessary medication administration and adverse side effects.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to identify Resident (R) 1 and R16's medications lacked an indication for use. The deficient practice placed the residents at risk of unnecessary medication administration and adverse side effects.
- 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 wroteThe facility identified a census of 81 residents. The sample included 21 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to ensure Resident (R) 16's psychotropic (alters mood or thought) medications had an indication for use. The deficient practice placed the residents at risk of unnecessary medication administration and adverse side effects.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents. Based on observation, record review, and interview, the facility failed to provide and serve food substitutions that accommodated Resident (R) 3's preferences. This placed the resident at risk for impaired autonomy and decreased quality of life.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteThe facility identified a census of 81 residents. The sample included 21 residents with five residents reviewed for immunizations. Based on record review and interview the facility failed to ensure that Resident (R) 16 and R82 were offered and educated regarding the Prevnar 20 (PCV20) pneumococcal (type of bacterial infection) vaccination or assessed by the physician to determine if contraindicated as recommended by the Centers for Disease Control and Prevention (CDC). This deficient practice placed these residents at risk of acquiring, transmitting, or experiencing complications from pneumococcal disease.
September 15, 2022Standard inspection · 12 citations
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interview, the facility failed to follow-up or resolve resident grievances. This deficient practice placed residents at risk for unresolved concerns.
- E
Honor each resident's preferences, choices, values and beliefs.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents with four residents reviewed for behaviors. Based on observation, record review, and interview, the facility failure to provide the necessary behavior cares and services for Resident (R) 87 (refer to F740) affected the quality of life for R16, R35, R53, R60 who were affected by R87's behaviors. This placed the affected residents at risk for increased stress, discomfort and social isolation.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interview, the facility failed to secure chemicals in a safe, locked area out of reach of the 19 cognitively impaired, independently mobile residents. This deficient practice placed the affected residents at risk for accidents.
- 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 wroteThe facility had a census of 88 residents. The sample included 18 residents. Based on observation, interview, and record review the facility failed to dispose of expired Juven (therapeutic nutrition powder) and antibiotic (medication used to treat infections caused by bacteria) medication. This deficient practice had the risk for physical complications and ineffective treatment for affected residents.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interview, the facility failed to follow a recipe during puree preparation for five residents who received a pureed diet. This deficient practice had the risk for altered nutritional status, unpalatable food, and unwarranted physical complications.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interview, the facility failed to store, prepare, and serve food in accordance with professional standards for the 84 residents who received their meals from the facility kitchen. This placed the 84 residents at risk for foodborne illness.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interview, the facility failed to provide respect and dignity during the meal for Resident (R) 83. This placed the resident at risk for impaired psychosocial well-being.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents with four reviewed for behaviors. Based on observation, record review and interview, the facility failed to accurately code the Minimum Data Set (MDS) to reflect Resident (R) 87's behaviors and as a result did not capture the affect the behaviors had on R87 and other residents. This placed the resident at risk for continued and worsened behaviors.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents with four residents reviewed for behaviors. Based on observation, record review, and interview, the facility failed to implement interventions in an attempt to redirect or de-escalate Resident (R) 87's behaviors as directed by her plan of care. This placed the resident at risk for continued and worsened behaviors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported to the facility the staff's failure to correctly hold or administer blood pressure medication for Resident (R) 18, as directed by the physician. This deficient practice placed R18 at risk for uncontrolled blood pressures and unnecessary medication use.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteThe facility had a census of 88 residents. The sample included 18 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to correctly hold or administer blood pressure medication for Resident (R) 18, as directed by the physician. This deficient practice placed R18 at risk for uncontrolled blood pressures and unnecessary medication use.
- 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 wroteThe facility had a census of 88 residents. The sample included 18 residents with five reviewed for unnecessary medications. Based on observation, record review and interview, the facility failed to provide a stop date or a rationale for extended use for an as needed (PRN) psychotropic medication (medication used to treat moods and behaviors) for Resident (R) 2, and a stop date for a PRN antipsychotic medication (medication used to treat psychosis and other mental conditions) for R87. This placed the residents at risk for unnecessary psychotropic medications and adverse side effects.
Fire safety inspections
27 fire safety citations on file: 11 on January 28, 2026, 13 on March 13, 2024, 3 on September 15, 2022.
Every fire safety citation27 citations
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · January 28, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · January 28, 2026 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · January 28, 2026 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · January 28, 2026 · Corrected (the home has a date of correction)
- E
Use approved construction type or materials.
K 161 · January 28, 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 · January 28, 2026 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 28, 2026 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · January 28, 2026 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · January 28, 2026 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · January 28, 2026 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · January 28, 2026 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Have properly located and lighted "Exit" signs.
K 293 · March 13, 2024 · Corrected (the home has a date of correction)
- F
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 13, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K 914 · March 13, 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 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Ensure proper usage of power strips and extension cords.
K 920 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 15, 2022 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · September 15, 2022 · Corrected (the home has a date of correction)
- F
Ensure proper usage of power strips and extension cords.
K 920 · September 15, 2022 · Corrected (the home has a date of correction)