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
4D
1E
0F
Potential for minimal harm
0A
0B
0C
June 12, 2025Standard inspection · 2 citations
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and interview, the facility failed to ensure medication were administered per the physician's orders for 2 of 5 residents reviewed for unnecessary medications. (Resident 71, Resident 33)
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interview and record review, the facility failed to ensure designation of a certified Infection Preventionist (IP). The IP did not currently dedicate at least part time hours to the role of IP for 2 of 2 staff members reviewed for IP (Director of Nursing and RN 1).
May 13, 2024Standard inspection · 0 citations
April 28, 2023Standard inspection · 3 citations
- E
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen tubing was labeled and dated for 5 of 5 residents reviewed for respiratory care. (Resident 6, Resident 47, Resident 60, Resident 51, and Resident 44).
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure the written notification required for a transfer and discharge was given to the resident or the resident representative for 1 of 4 residents reviewed for hospitalization. (Resident 57)
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and record review, the facility failed to ensure the notification of the bed-hold policy required for residents who transferred to the hospital was provided for 1 of 4 residents reviewed for hospitalization. (Resident 57)
Fire safety inspections
9 fire safety citations on file: 1 on June 12, 2025, 7 on May 13, 2024, 1 on April 28, 2023.
Every fire safety citation9 citations
- C
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 12, 2025 · Not yet corrected
- F
Conduct testing and exercise requirements.
E 39 · May 13, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · May 13, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 13, 2024 · Corrected (the home has a date of correction)
- F
Provide a written emergency evacuation plan.
K 711 · May 13, 2024 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · May 13, 2024 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · May 13, 2024 · Corrected (the home has a date of correction)
- C
Have simulated fire drills held at unexpected times.
K 712 · May 13, 2024 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · April 28, 2023 · Corrected (the home has a date of correction)