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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
1F
Potential for minimal harm
0A
0B
0C
June 11, 2026Standard inspection · 2 citations
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of infection control logs, staff interview and review of the facility policy, the facility failed to maintain an adequate infection surveillance program. This had the potential to affect all residents residing in the facility. The facility census was 54.
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on medical record review, staff interview and review of facility policy, the facility failed to adequately monitor residents for effectiveness, adverse reactions and side effects of psychotropic medication use. This affected five (#5, #10, #20, #29, and #49) of five residents reviewed for unnecessary medications. Additionally, the facility failed to ensure psychotropic medications were not given unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record. This affected one (#10) of five residents reviewed for unnecessary medications. The facility census was 54.
September 12, 2024Standard inspection · 4 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff interview, and review of the facility policy, the facility failed to ensure residents were treated for constipation. This affected one (#6) of one resident reviewed for bowel movements. The facility census was 52.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interview, and review of facility policy, the facility failed to ensure used bed pans were cleaned after use. This affected one resident (#210) reviewed for use of bedpans. The facility identified four residents that use bedpans (#13, #42, #206, and #209). The facility census was 52.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, review of immunization records, staff interview, review of policy, and review of the Centers of Disease Control and Prevention (CDC) guidance, the facility failed to ensure residents received or were offered the influenza and pneumococcal vaccinations per CDC recommendations. This affected two (#5 and #26) of five residents reviewed for influenza and pneumococcal vaccination. The facility census was 52.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure fecal matter was cleaned off the toilet riser following use. This affected one resident (#210) reviewed for clean environment. The facility census was 52.
September 21, 2023Complaint inspection · 1 citation
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, review of the facility's Self-Reported Incident (SRI) and abuse investigation, review of employee files and review of facility in-services, the facility failed to ensure a resident was free from physical abuse. This affected one (Resident #24) of three residents reviewed for abuse. The facility census was 52.
March 10, 2022Standard inspection · 3 citations
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review, staff interview, and review of a facility policy, the facility failed to implement pressure-reducing interventions and failed to properly assess a pressure ulcer once discovered. This affected two (#21 and #142) of three residents reviewed for pressure ulcers. The census was 47.
- 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 wroteBased on review of the medical record, staff interview, and policy review, the facility failed to provide restorative care as care planned. This affected two (#24 and #28) of two residents reviewed for range of motion. The facility census was 47.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review, staff interview, and review of a facility policy, the facility failed to ensure fall interventions were in place as ordered and care planned. This affected one (#142) of four residents reviewed for accidents. The census was 47.
Fire safety inspections
6 fire safety citations on file: 5 on September 12, 2024, 1 on March 10, 2022.
Every fire safety citation6 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 12, 2024 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · September 12, 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 · September 12, 2024 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · September 12, 2024 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · September 12, 2024 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · March 10, 2022 · Corrected (the home has a date of correction)