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
11D
1E
0F
Potential for minimal harm
0A
0B
0C
February 5, 2026Complaint inspection · 1 citation
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review the facility failed to document post fall assessments for 2 of 3 residents reviewed for falls. (Resident identifiers are #1 and #2.)
December 11, 2025Standard inspection · 1 citation
- 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 interview, observation and record review it was determined that the facility failed to follow currently accepted professional principles for labeling and storing medications in 1 of 1 medications cart and in 1 of 1 medication room observed. (Resident identifiers are #1, #21, and #34 .)
October 16, 2024Standard inspection · 4 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 observations, interviews, and record review, it was determined that the facility failed to ensure that multi dose medications were labeled appropriately in 1 out of 1 medication carts observed.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to determine if self-administration of medications were appropriate for 1 of 1 resident reviewed for choices in a final sample of 15 residents (Resident Identifier #31).
- 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 wroteBased on record review and interview, it was determined that the facility failed to notify residents of the bed hold policy before a transfer for 2 of 2 resident's reviewed for hospitalizations in a final survey sample of 15 residents (Resident Identifiers are #8, #47 and #51).
- D
Provide and implement an infection prevention and control program.
Inspectors wroteResident #10 Review on 10/14/24 of Resident #10's medical record revealed an open wound on the right heel that the resident had upon admission. Interview on 10/14/24 at approximately 9:30 a.m. with Staff F (Director of Nursing) confirmed Resident #10 had a pressure ulcer to the right heel and was not on any precautions. Observation on 10/15/24 at approximately 11:30 a.m. revealed no EBP sign or PPE inside or outside Resident #10's room. Interview on 10/15/24 at approximately 11:45 a.m. with Resident #10 revealed that when staff provide treatment to the pressure ulcer, they wear gloves but do not wear protective gowns. Interview on 10/16/24 at approximately 10:00 a.m. with Staff E (Infection Preventionist) confirmed the above findings and that Resident #4 and #10 should have had EBP in place. [...]
June 4, 2024Complaint inspection · 5 citations
- 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 observation, record review and interview, it was determined that the facility failed to implement residents care plan regarding supervision with meals for 2 of 2 residents reviewed for supervision with meals (Resident Identifiers are #1 and #2).
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and interview, it was determined that the facility failed to ensure that a resident received adequate supervision to prevent chocking accidents during meals for 1 out of 2 residents reviewed for supervision with meals (Resident Identifier #1).
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to provide food that is palatable and served at an appetizing temperature (Resident Identifiers are #9 and #10).
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide a resident with the necessary assistive devices for eating for 1 of 1 resident observed for assistive devices (Resident Identifier #1).
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that dietary staff use facial hair restraints when cooking and serving food from the steam table and failed to maintain a clean environment for 1 of 1 kitchens observed for meal service and failed to store food in accordance with professional standards for food safety to prevent foodborne illness for 1 of 1 kitchenettes observed.
October 12, 2023Standard inspection · 1 citation
- 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 observation, interview, and policy review it was determined that the facility failed to ensure that medications were labeled and stored in accordance with manufacturers instructions and expiration date when applicable for 2 of 2 medication carts observed (Resident identifiers are #29 and #40).
Fire safety inspections
13 fire safety citations on file: 3 on December 11, 2025, 7 on October 16, 2024, 3 on October 12, 2023.
Every fire safety citation13 citations
- F
Have properly installed hallway dispensers for alcohol-based hand rub.
K 325 · December 11, 2025 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · December 11, 2025 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · December 11, 2025 · Corrected (the home has a date of correction)
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · October 16, 2024 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · October 16, 2024 · Corrected (the home has a date of correction)
- C
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · October 16, 2024 · Corrected (the home has a date of correction)
- C
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · October 16, 2024 · Corrected (the home has a date of correction)
- C
Provide properly protected cooking facilities.
K 324 · October 16, 2024 · Corrected (the home has a date of correction)
- C
Have simulated fire drills held at unexpected times.
K 712 · October 16, 2024 · Corrected (the home has a date of correction)
- C
Ensure proper usage of power strips and extension cords.
K 920 · October 16, 2024 · Corrected (the home has a date of correction)
- D
Have simulated fire drills held at unexpected times.
K 712 · October 12, 2023 · Corrected (the home has a date of correction)
- C
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · October 12, 2023 · Corrected (the home has a date of correction)
- C
Address subsistence needs for staff and patients.
E 15 · October 12, 2023 · Corrected (the home has a date of correction)