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 5 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
0F
Potential for minimal harm
0A
0B
0C
June 26, 2025Standard inspection · 2 citations
- 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 record Review, the facility failed to provide maintenance services to maintain a clean, safe living environment for 2 of 4 bathrooms observed in Hallway 200. (rooms [ROOM NUMBERS])
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, resident and staff interviews, and record reviews, the facility failed to ensure 1 of 26 residents reviewed medical record was clear and accurately documented in accordance with accepted professional standards and practices. (Resident # 413)
March 28, 2024Standard inspection · 0 citations
January 25, 2023Standard inspection · 3 citations
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide accurate Minimum Data Set (MDS) Resident Assessments on 5 of 6 residents sampled. (Residents #1, #5, #68, #78 and #92)
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to coordinate a Level II Preadmission Screening and Resident Review (PASARR) assessment for 1of 1 residents sampled. (Resident #97)
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to ensure staff effectively disinfected shared blood glucose meters during 1 of 1 random observations of blood glucose sampling for resident #43.
Fire safety inspections
5 fire safety citations on file: 1 on March 28, 2024, 4 on January 25, 2023.
Every fire safety citation5 citations
- D
Install corridor and hallway doors that block smoke.
K 363 · March 28, 2024 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · January 25, 2023 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 25, 2023 · Corrected (the home has a date of correction)
- D
Have properly sized and located compartments to protect residents from smoke.
K 371 · January 25, 2023 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · January 25, 2023 · Corrected (the home has a date of correction)