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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
2F
Potential for minimal harm
0A
0B
0C
December 3, 2025Standard inspection · 2 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, interview, and record review, the facility failed to ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, pulled pork. This deficient practice had the potential to affect all the residents who consumed food from the kitchen, resulting in the potential for food borne illness.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify, assess, and implement potential issues related to skin care for one resident (R104).
September 12, 2024Standard inspection, Complaint inspection · 3 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly date-label food stored in resident refrigerators affecting all the residents who consumed food from the unit refrigerators resulting in unidentifiable resident items and the potential for food-borne illness.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThis citation pertains to intake MI100145407. Based on interview and record review, the facility failed to ensure dignified and respectful treatment for three residents (R3, R5, and R69) of 28 residents reviewed for dignity, resulting in residents verbalization of feelings of helplessness, frustration, and discontentment when staff respond rudely when answering the call lights, repeatedly talk on their phones during care while ignoring the residents, and sit in resident's rooms when the resident is not present.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteThis citation pertains to intake MI100145407. Based on interview and record review, the facility failed to act promptly on grievances and concern forms reported in resident council meetings and provide responses and resolutions for two grievances filed in the last four months, as reported during confidential resident council meetings, resulting in unresolved resident concerns, residents expressing feelings of helplessness, and decreased quality of life.
August 16, 2023Standard inspection · 2 citations
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an effective pest control program to ensure that the facility is free of pests resulting in an increased potential for contamination of food, both food and non-food contact surfaces, and foodborne illness potentially affecting staff, visitors and all 109 residents.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review the facility failed to report an allegation of employee to resident abuse (per R32) to the State Agency for one resident (R59) out of a sample of one resident reviewed for abuse, resulting in the potential for feelings of not being protected or safe within the facility, and for abuse to continue without being reported.
Fire safety inspections
3 fire safety citations on file: 2 on December 3, 2025, 1 on September 12, 2024.
Every fire safety citation3 citations
- D
Install corridor and hallway doors that block smoke.
K 363 · December 3, 2025 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · December 3, 2025 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · September 12, 2024 · Corrected (the home has a date of correction)