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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
0E
0F
Potential for minimal harm
0A
0B
0C
July 22, 2026Standard inspection · 4 citations
- D
Post nurse staffing information every day.
Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to ensure that current nurse staffing data was accurate and posted at the beginning of the day. This deficient practice could result in residents and visitors not being informed of accurate, up-to-date nurse staffing data. The universe was 52. Findings Include:On July 19, 2026, at 10:22 AM, an observation of the facility's nursing staff posting revealed the posted staffing information was dated July 14, 2026, and reflected a resident census of 57. The current date was July 19, 2026, and the facility census was 52 residents, indicating the required daily staffing information had not been updated for five days. During an interview on July 22, 2026, at 9:55 AM, the Assistant Director of Nursing (ADON/Staff #94) stated the facility's process is to update and post the daily nursing staffing information each day. [...]
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, staff interviews, and review of facility policy, the facility failed to ensure one medication cart was secured in accordance with facility policy. This deficient practice created the potential for unauthorized access to medications, medical supplies, and protected health information. The sample was one medication cart. The facility census was 52 residents. Findings Include:On July 22, 2026, at approximately 7:49 a.m., an observation was conducted in the hallway adjacent to the nurses' station. A medication cart was observed unlocked and unattended with no nursing staff present. The drawers faced the hallway, the back of the cart was against the wall, and the cart's locking mechanism indicated it was unlocked. [...]
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to ensure food items were stored in accordance with professional standards for food service safety. This deficient practice had the potential to increase the risk of foodborne illness. The census was 52. Findings Include: During an initial kitchen observation conducted on July 19, 2026, at approximately 9:45 AM, accompanied by the Dietary Aide (Staff #50), several strawberries stored in the large walk-in refrigerator were observed to have visible discoloration consistent with mold. During an interview at the time of the observation, Staff #50 stated the strawberries looked really bad and confirmed the discoloration was mold. Staff #50 stated the condition of the strawberries did not meet facility expectations and acknowledged that serving spoiled fruit could result in residents becoming ill. [...]
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews, review of clinical record, and review of facility policy and procedure, the facility failed to ensure the medical record was accurate and complete regarding skin assessments for one resident (#28). The deficient practice could result in interdisciplinary team members not being aware of a resident's status.-
July 25, 2025Standard inspection, Complaint inspection · 5 citations
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteThe facility failed to ensure that PASARR Level II is completed. Number of residents sampled: 1Number of residents cited: 1Based on facility documentation, staff interviews, and policy review, the facility failed to ensure one resident's (#2) Preadmission Screening and Resident Review (PASARR) level II was completed in a timely manner. The deficient practice could result in the resident not receiving the specialized services needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure one resident (#89) was offered or provided showers in accordance with his shower schedule. This deficient practice could result in residents not being provided hygiene care and services.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, staff interviews and policy review, the facility failed to ensure that medications were not left at the bedside for one resident (#92). The deficient practice could result in harm to the residents, and/or visitors who have access to medications. Findings Include:Resident #92 was admitted on [DATE] with diagnoses that included, unspecified fracture of left patella, hypertension, chronic obstructive pulmonary disease, muscle spasm, gastro-esophageal reflux disease, depression, atherosclerotic heart disease, and (osteo)arthritis. The Admissions Minimum Data Set (MDS) assessment dated [DATE] is in progress. Resident #92 care plan did not address that resident was able to self-administer medication. Review of the physician's orders revealed no orders to self-administer medications. Review of the assessments revealed not assessed to self-administer medications. [...]
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on clinical record review, representative and staff interviews, and policy review, the facility failed to assess and monitor one resident's (#77) nutritional needs. The deficient practice could result in residents' nutritional needs not being met.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, facility documentation, policies and procedures assessment, the facility failed to ensure that food items in the dry storage room and the freezer were properly labeled and dated. The deficient practice could result in food contamination which could cause sickness and potential food poisoning among the residents. Findings Include:On July 22, 2025 at 9:40 a.m during an initial walk-through visit with [NAME] #106 on behalf of the kitchen manager, staff #77 who was on leave that day at the storage room, one half-full bag of macaroni noodles was observed sitting on the shelf with no label or date. Also, two other opened bags- one of chicken tenders and one of French fries-in the freezer that were not labeled or dated. Furthermore, these bags were not stored in sealed containers or zipper bags, as required. [...]
April 28, 2025Complaint inspection · 1 citation
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that an incident involving allegation of abuse between a staff member and one resident (#11) was reported according to professional standards. The deficient practice could result in unnoted abuse.
August 1, 2024Standard inspection, Complaint inspection · 2 citations
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on resident and staff interviews, clinical records review and facility policy, the facility failed to ensure one resident (#34) was not physically abused by another resident (#3). The deficient practice could result in residents being physically injured.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, facility documentation and policy review, the facility failed to ensure the necessary treatment and services were provided for one resident (#1) out of fourteen sampled residents, regarding bowel care. The deficient practice could result in excessive discomfort for the resident.
Fire safety inspections
7 fire safety citations on file: 5 on August 1, 2024, 2 on December 22, 2022.
Every fire safety citation7 citations
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · August 1, 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 · August 1, 2024 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · August 1, 2024 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · August 1, 2024 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · August 1, 2024 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · December 22, 2022 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 22, 2022 · Corrected (the home has a date of correction)