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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
1F
Potential for minimal harm
0A
0B
0C
July 31, 2025Standard inspection · 1 citation
- 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 facility policy review, the facility failed to ensure dietary staff washed their hands between dirty and clean tasks, and before handling clean equipment for one of two meals observed.
April 25, 2024Standard inspection · 6 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 foods stored in the freezer and dry storage area were covered, sealed, dated, and were stored in to prevent potential food borne illness for resident who received meals from 1 of 1 kitchen, expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchens, and dietary staff washed their hands before handling clean equipment and food items to prevent potential food borne illness for residents. The failed practices had the potential to affect 66 residents who receive meals from the kitchen.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure mechanical closets to the electrical and air conditioning rooms were locked to prevent residents from entering. The facility failed to lock a private bathroom on 400 Hall that did not have a call light or pull cord light to allow residents to call for assistance which had the potential to affect 9 400-Hall residents that can ambulate or self-propel and failed to transfer residents in an appropriate manner to prevent falls or injuries.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure meals were served in a method that maintained the appearance pureed food items and of hot food product and at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 2 of 2 meals observed. This failed practice had the potential to affect 19 residents who receive meal trays in their rooms on the 100- Hall, 5 residents who receive meal trays on the 200- Hall, 4 residents who receive meal trays in their room on the 300- Hall, 14 residents who receive meal trays on 400- Hall.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received dental care to promote good hygiene and prevent nutritional and dental complications for 1 (Resident #14) sampled resident. This failed practice had the potential to affect 7 residents on 400-Hall that require complete dental assistance.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure ice packs were maintained in cooler bags at the bedside for residents on thickened liquids to ensure fluids were appetizing for the residents to help prevent dehydration and weight loss. This failed practice had the ability to affect two residents on 400-Hall on thickened liquids.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to date humidifier bottles to ensure nursing staff changed humidifier bottles weekly to prevent respiratory infections. This failed practice had the potential to affect 2 residents living on 400 Hall using oxygen with humidifier bottles.
April 7, 2023Standard inspection · 3 citations
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and interview the facility failed to convey within 30 days the resident's funds, and a final accounting of those funds, to the resident, or in the case of death, the individual or probate jurisdiction administering the resident's estate, in accordance with State law, upon the death of 2 Residents (#125 and #126) who had personal funds deposited with the facility.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on Observation, Interview and Record Review the facility failed to place signage on a resident's entry way to identify the use of Oxygen by the resident, for 1 (#226) of 6 (#11, #15, #33, #57, #63 and #226) sampled residents who received Supplemental Oxygen.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure ongoing communication and collaboration with the Dialysis Facility for 1 (Resident #17) reviewed for End Stage Renal Disease/Dialysis services, according to a list provided by Director of Nursing (DON) on 04/06/23.
Fire safety inspections
13 fire safety citations on file: 7 on July 31, 2025, 4 on April 25, 2024, 2 on April 7, 2023.
Every fire safety citation13 citations
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · July 31, 2025 · Corrected (the home has a date of correction)
- F
Have exits that are accessible at all times.
K 271 · July 31, 2025 · Corrected (the home has a date of correction)
- 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 · July 31, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · July 31, 2025 · Corrected (the home has a date of correction)
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · July 31, 2025 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · July 31, 2025 · Corrected (the home has a date of correction)
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · July 31, 2025 · Corrected (the home has a date of correction)
- 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 · April 25, 2024 · Corrected (the home has a date of correction)
- F
Properly provide smoke detection systems in areas open to corridors.
K 347 · April 25, 2024 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · April 25, 2024 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · April 25, 2024 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · April 7, 2023 · Corrected (the home has a date of correction)
- F
Properly provide smoke detection systems in areas open to corridors.
K 347 · April 7, 2023 · Corrected (the home has a date of correction)