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
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
3E
0F
Potential for minimal harm
0A
0B
1C
July 23, 2026Complaint inspection · 1 citation
- J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, facility staff failed to provide protective oversight for one resident (Resident #1) when staff failed to supervise the resident, including checking on them and offering hydration to the resident, while he/she sat outside from 9:23 A.M. until 11:52 A.M on 7/18/26. Outside temperatures ranged from 84 F to 88 F and the heat index ranged from the mid-90's to low 100's F. The resident had severe cognitive impairment, required substantial/maximum assistance with mobility, and utilized a wheelchair for mobility. The failure resulted in the resident becoming unresponsive, vomiting, and having a temperature of 101. 7 degrees Fahrenheit (F). The resident was admitted to the local hospital with diagnoses of dehydration from environmental heat exposure and pneumonia. The facility census was 57. The administrator was notified on 07/22/26 at 11:50 A.M. [...]
November 10, 2025Complaint inspection · 1 citation
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on observation, interview and record review, facility staff failed to complete an investigation related to missing controlled narcotic medication for one resident (Resident #1) when staff identified three missing controlled narcotics. The facility census was 53.1. Review of the facility's Abuse and Neglect, Prevention, Investigation and Reporting policy, revised 06/23/2022, showed all items of concern related to misappropriation shall be investigated urgently with swift correction which shall include education to staff members on prevention of such. All collected information and documents shall be maintained in the administrator's office. Review of the facility's Guideline for Discrepancy in Count of Controlled Medication, undated, showed the purpose of the guidelines are to assure controlled medications were accounted for at least three times daily. [...]
January 30, 2025Standard inspection · 2 citations
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on interview and record review, facility staff failed to consistently document the code status as Do Not Resuscitate (DNR) or Full Code (Cardiopulmonary resuscitation (CPR)) in the comprehensive care plan for nine residents (Resident #10, #18, #19, #21, #40, #41, #42, #8, and #32), and failed to transcribe or correct code status orders for two residents (Resident #8, and #32) out of 14 sampled residents. The facility census was 45. 1. Review of the facility's policy titled, Cardiopulmonary Resuscitation (CPR/DNR) Policy, dated [DATE], showed when a resident chooses to be a Full Code or a DNR, the order should be approved by the physician and entered into the electronic medical record as such. A DNR paper or Transportable Physician Order for Patient Preferences (TPOPP) must be signed by a physician. [...]
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, facility staff failed to perform a pre-dialysis (procedure to remove waste products from the blood when the kidneys stop functioning properly) assessment and to have a system in place for ongoing communication with the dialysis clinic for one (Resident #25) of one sampled resident. Facility census was 45. 1. Review of the facility's dialysis services policy and procedure, dated 04/05/23, showed staff are directed to obtain communication with the dialysis clinic. Review of the facility's memorandum of agreement with the dialysis clinic, undated, showed the facilities responsibilities are: -If the long term care facility is a skilled nursing facility appropriate long term care facility healthcare staff will make an assessment of each patient's physical condition and determine whether the patient is stable enough to be dialyzed; [...]
December 1, 2023Standard inspection · 1 citation
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Inspectors wroteBased on observation, interview and record review, facility staff failed to post the telephone number for the Department of Health and Senior Services (DHSS) Adult Abuse and Neglect Hotline (used to report allegations of abuse and neglect), the name, address, and phone number for the Long-Term Care Ombudsman (a program serving residents of nursing homes and residential care facilities to provide support and assistance with their problems or complaints), and resident rights in a form and manner accessible to residents and visitors on the secured memory care unit (MCU). The facility census was 46. 1. Review of facility policy titled, Golden Age Living Center Postings, dated August 12, 2018 showed: -Purpose is to provide notices and postings to residents, families, and staff that are required by law; -Postings that should be provided as required: [...]
October 14, 2022Standard inspection · 2 citations
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, facility staff failed to document the date and location of the documentation used to complete the Care Area Assessment (CAA) section (section V0200) of the Minimum Data Set (MDS), a federally mandated resident assessment tool, for 12 sampled residents (Residents #1, #13, #17, #21, #24, #25, #28, #37, #44, #46, #49, and #56). The facility census was 83. 1. Review of the CAA summary section of the Resident Assessment Instrument (RAI) Manual showed the following: -Check section A (Care Area Triggered) if Care Area is triggered; -For each triggered care area, indicate whether a new care plan, care plan revision, or continuation of current care plan is necessary to address the problem(s) identified in your assessment of the care area. The Care Plan Decision column must be completed within seven days of completing the RAI (MDS and CAAs). [...]
- E
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 interview and record review, facility staff failed to address the triggered care areas of the Care Area Assessment (CAA) for 11 residents (Resident #1, #13, #17, #21, #23, #24, #28, #36, #37, #46, and #49) and failed to provide person-centered care plans with measurable time frames, and goals for four residents (Resident #23, #36, #44, and #56), in order to meet the residents' individual, medical and nursing needs. The facility census was 53. 1. Review of the CAA summary section of the Resident Assessment Instrument (RAI) Manual showed the following: -Check section A (Care Area Triggered) if Care Area is triggered; -For each triggered care area, indicate whether a new care plan, care plan revision, or continuation of current care plan is necessary to address the problem(s) identified in your assessment of the care area. [...]
Fire safety inspections
9 fire safety citations on file: 2 on January 30, 2025, 3 on December 1, 2023, 4 on October 14, 2022.
Every fire safety citation9 citations
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · January 30, 2025 · Corrected (the home has a date of correction)
- F
Have proper medical gas storage and administration areas.
K 923 · January 30, 2025 · Corrected (the home has a date of correction)
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K 346 · December 1, 2023 · Corrected (the home has a date of correction)
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K 354 · December 1, 2023 · Corrected (the home has a date of correction)
- F
Ensure proper usage of power strips and extension cords.
K 920 · December 1, 2023 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · October 14, 2022 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · October 14, 2022 · 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 14, 2022 · Corrected (the home has a date of correction)
- F
Have proper medical gas storage and administration areas.
K 923 · October 14, 2022 · Corrected (the home has a date of correction)