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
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
0F
Potential for minimal harm
0A
0B
0C
July 17, 2026Standard inspection · 0 citations
July 23, 2025Standard inspection · 3 citations
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on the clinical record, staff interviews, and the facility's policy and procedures, the facility failed to ensure that pain medications prescribed as needed (PRN) were administered within the pain scale. The deficient practice could result in residents being overmedicated or undermedicated, affecting overall pain management.
- 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 observation, clinical record review, staff interviews, and facility policy review, the facility failed to ensure that medications were stored and residents were assessed for self-administration of medication for 1 resident, #47. The deficient practice could result in medications not being administered properly and medications not being stored safely.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility documentation, observations, staff interviews, and policy review, the facility failed to ensure that food items located in the refrigerator, freezer, and dry storage were stored for resident safety. The deficient practice could result in unsafe food storage, placing residents at risk for foodborne illnesses.
June 23, 2023Standard inspection · 4 citations
- K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, clinical record reviews, resident and staff interviews, and facility documentation, policy and procedures, the facility failed to ensure water temperatures were within the safe water temperature range. The deficient practice put the residents at increased risks for serious injury and harm such burn and scalding. As a result, the Condition of Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) were identified.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on staff interview, facility documentation, policy and procedure, the facility failed to ensure there was a registered nurse (RN) was on duty 8 consecutive hours or 7 days a week. The deficient practice could result in residents not provided with the needed advanced care activities.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on clinical record review, staff interviews and procedure, the facility failed to ensure that the pre-admission screening and resident review (PASRR) was completed for one resident (#34). The deficient practice could lead to residents not receiving needed care and services.
- 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 interview, and policy review, the facility failed to ensure food items were labeled and dated when opened. The deficient practice could result in a potential for food borne illness.
Fire safety inspections
10 fire safety citations on file: 1 on July 23, 2025, 5 on June 23, 2023, 4 on April 21, 2022.
Every fire safety citation10 citations
- E
Provide rooms that can be unlocked from inside without a key.
K 221 · July 23, 2025 · 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 · June 23, 2023 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · June 23, 2023 · Corrected (the home has a date of correction)
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · June 23, 2023 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · June 23, 2023 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · June 23, 2023 · Corrected (the home has a date of correction)
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
K 342 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Have simulated fire drills held at unexpected times.
K 712 · April 21, 2022 · Corrected (the home has a date of correction)