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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
4D
0E
1F
Potential for minimal harm
0A
0B
0C
February 5, 2026Complaint inspection · 2 citations
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff and family interviews, record reviews, and a review of the facility's policy titled, Accidents and Incidents - Investigating and Reporting, the facility failed to provide an environment free from accident hazards for one of one Residents (R) (R3) related to a fall. On 12/12/2025, actual harm occurred when Licensed Practical Nurse (LPN) FF blew an air horn on C hall (R3 was ambulating at the time of the air horn activation), which startled R3 and increased ambulation, resulting in a fall. R3 sustained an acute comminuted intertrochanteric fracture of the right femur. R3 was hospitalized on [DATE] and underwent an operative fixation (a surgical repair for broken bones) as a result of the fall.
- 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 observations, staff, resident and resident representative interviews, and review of the facility's policy titled Care Plans, Comprehensive Person-Centered, the facility failed to develop a comprehensive person-centered care plan for one residents (R) (R3) related to heel boots. Additionally, the facility failed to develop a comprehensive person-centered care plan for one resident (R2) related to fall mats. This failure has the potential to place residents at risk for unmet needs and diminished quality of life. 1.
September 14, 2025Standard inspection · 3 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, staff interview, and review of the facility policies titled, Food Storage Guidelines and Ice Maker Sanitation, the facility failed to ensure opened food items in the kitchen's dry storage area were securely wrapped, labeled and dated. Also, the facility failed to discard refrigerated food items by expiration date in one of two freezers. In addition, the facility failed to maintain sanitary conditions for one of one ice machine units. The deficient practice had the potential to affect 92 out of 105 residents receiving an oral diet.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations, interviews, and review of the facility's policy titled Safe and Homelike Environment, the facility failed to provide a provide a safe, clean, comfortable and homelike environment on two of six halls (A hall and D hall). Specifically, the facility failed to ensure rooms in four rooms (A3,A12, D1, and D2) were free of scuffed and peeling paint on the walls, holes and cracks in the walls, missing baseboards, sheet rock and baseboards in disrepair.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility's policy titled Activities of Daily Living (ADL) Supporting, the facility failed to ensure nail care was provided for one of four sampled Residents (R) (R96) reviewed for ADLs.
August 21, 2024Standard inspection · 1 citation
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on staff interviews, record review, and a review of the facility policy titled, Resident Assessment-Coordination with PASARR (preadmission screening and resident review) Program, the facility failed to submit a PASARR Level II for one of two residents (R) (R1) reviewed for a mental illness diagnosis. This deficient practice had the potential to affect the appropriate level of care and services provided for R1.
January 5, 2023Standard inspection · 0 citations
Fire safety inspections
22 fire safety citations on file: 6 on September 14, 2025, 7 on August 21, 2024, 9 on January 5, 2023.
Every fire safety citation22 citations
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · September 14, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · September 14, 2025 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · September 14, 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 · September 14, 2025 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · September 14, 2025 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · September 14, 2025 · Corrected (the home has a date of correction)
- F
Establish an Emergency Preparedness Program (EP).
E 1 · August 21, 2024 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · August 21, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 21, 2024 · Corrected (the home has a date of correction)
- D
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · August 21, 2024 · Corrected (the home has a date of correction)
- D
Have properly located and lighted "Exit" signs.
K 293 · August 21, 2024 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · August 21, 2024 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · August 21, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · January 5, 2023 · Corrected (the home has a date of correction)
- F
Have restrictions on the use of highly flammable decorations.
K 753 · January 5, 2023 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · January 5, 2023 · Corrected (the home has a date of correction)
- D
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · January 5, 2023 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · January 5, 2023 · Corrected (the home has a date of correction)
- D
Install an approved automatic sprinkler system.
K 351 · January 5, 2023 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 5, 2023 · Corrected (the home has a date of correction)
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · January 5, 2023 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · January 5, 2023 · Corrected (the home has a date of correction)