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 3 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
1F
Potential for minimal harm
0A
0B
0C
September 25, 2025Standard inspection · 1 citation
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, 2025 Disease Control and Prevention (CDC) Adult Immunization Schedule and staff interview, the facility failed to offer updated pneumococcal vaccination to 2 of 5 residents sampled (Resident #7 and #36). The facility identified a census of 41 residents.
October 31, 2024Standard inspection, Complaint inspection · 1 citation
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review, Facility Assessment review, and resident and staff interviews the facility failed to employ sufficient numbers of staff on the weekends to meet resident needs. The facility reported a census of 43 residents.
October 5, 2023Standard inspection · 1 citation
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, insulin pen competency review, Novolog highlights of prescribing information (manufacturer's directions for use), and staff interview, the facility failed to prime the insulin pen with 2 units of insulin prior to the administration of the physician ordered dose of insulin for 1 of 1 residents observed for insulin administration (Resident #5). The facility identified a census of 48 residents.
Fire safety inspections
9 fire safety citations on file: 2 on September 25, 2025, 3 on October 31, 2024, 4 on October 5, 2023.
Every fire safety citation9 citations
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · September 25, 2025 · Corrected (the home has a date of correction)
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · September 25, 2025 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · October 31, 2024 · Corrected (the home has a date of correction)
- F
Develop a communication plan.
E 29 · October 31, 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 · October 31, 2024 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · October 5, 2023 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · October 5, 2023 · Corrected (the home has a date of correction)
- E
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 5, 2023 · 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 · October 5, 2023 · Corrected (the home has a date of correction)