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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
17D
3E
2F
Potential for minimal harm
0A
0B
0C
May 13, 2026Complaint 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 interview and record review the facility failed to ensure a resident was not abused for one of seven residents (R1) reviewed for abuse in the sample of seven.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interview and record review, the facility failed to ensure their abuse policy was implemented for one of seven residents (R1) reviewed for abuse in the sample of seven.
February 17, 2026Complaint inspection · 1 citation
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure R1 was provided care that enhanced the quality of life for 1 of 4 residents reviewed for Resident Rights in the sample of 4.
January 14, 2026Complaint inspection · 1 citation
- D
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 the facility failed to document a residents fall and update a care plan post fall for 1 of 3 residents (R2) reviewed for safety and supervision in the sample of seven.
August 27, 2025Standard inspection · 10 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 the sanitizing solution level was within range to sanitize food contact surfaces and failed to ensure expired bread was discarded. This applies to all residents residing at the facility.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP) for 6 of 26 residents (R8, R46, R65, R11, R3 and R64) reviewed for infection control in the sample of 26.
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and interview the facility failed accommodate a residents needs and preferences. This applies 1 of 26 residents (R30) reviewed for resident rights in the sample of 26.
- 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 a female resident was shaved and free of facial hair for 1 of 26 residents (R1) reviewed for Activities of Daily Living (ADLs) in the sample of 26.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to have pressure relieving interventions in place for residents at risk for pressure injuries for 2 of 6 residents (R5 and R30) reviewed for pressure injuries in the sample of 26.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a catheter drainage bag was maintained below the level of the bladder for 1 of 4 residents (R11) reviewed for catheters in the sample of 26.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview and record review the facility failed to implement interventions and provide services for a resident who is displaying increased behaviors of anxiety who has a diagnosis of dementia. This applies to 1 of 5 residents (R121) reviewed for dementia in the sample of 21.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident received their routine medication for 1 of 5 residents (R88) reviewed for pharmacy services in the sample of 26.
- 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, interview, and record review the facility failed to ensure controlled medications were secured with a dual lock system and failed to discard an outdated insulin pen which applies to 2 of 2 residents (R61, R93) reviewed for medication storage in a sample of 26.
- D
Provide or obtain dental services for each resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 1 residents (R11) received routine dental care in the sample of 26 reviewed for dental services.
September 25, 2024Standard inspection · 4 citations
- G
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 supervise a resident with a history of falls, failed to ensure a safe transfer was performed, and failed to review/revise fall interventions post fall for 3 of 24 residents (R114, R23, R93) reviewed for safety in the sample of 24. This failure resulting in R114 sustaining a right hip fracture and R23 sustaining a head wound.
- 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 record review the facility failed to ensure a blender pitcher used to puree lunch was sanitized before use. This applies to 4 of 4 residents (R22, R26, R34, R72) reviewed for pureed diets in the sample of 24.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure enhanced barrier precautions (EBP) were in place for 6 of 6 residents (R98, R41, R111, R114, R93, R117) reviewed for infection control in the sample of 24.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was provided care and services who required a rheumatology consult. This applies to 1 of 24 (R22) residents reviewed for quality of care in the sample of 24.
February 20, 2024Complaint inspection · 2 citations
- G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, and record review the facility failed to ensure a nurse reported a potential injury promptly to another nurse or physician. This applies to 1 of 3 (R1) residents reviewed for quality of care in the sample of 10. This failure resulted in R1 experiencing a delay in care/assessment and experiencing increased pain.
- G
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 the facility staff failed to safely transport a resident in a wheelchair for 1 of 3 (R1) residents in the sample of 10 reviewed for accidents/incidents. This failure resulted in R1 experiencing a femur fracture.
August 10, 2023Standard inspection · 5 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 were kept out of the danger zone (below 41 degrees Fahrenheit for cold foods, and 135 degrees Fahrenheit or above for hot foods) prior to serving. The facility also failed to ensure trayline temperature logs and two-step cool-down logs were filled out. This has the potential to affect all of the residents in the facility.
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide activities per resident preferences for a resident in isolation for 1 of 1 residents (R117) reviewed for activities in the sample of 27.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide restorative therapy services to 1 of 3 residents (R117) reviewed for range of motion in the sample of 27.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interview and record review, the facility failed to refer a resident for psychological services for a resident with depression. This failure applies to 1 of 3 residents (R117) reviewed for mood & behavior in the sample of 27.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide a resident's medication for her chronic obstructive pulmonary disorder. This applies to 1 of 1 residents reviewed for pharmacy services in the sample of 27.
Fire safety inspections
11 fire safety citations on file: 4 on September 25, 2024, 5 on August 10, 2023, 2 on July 13, 2022.
Every fire safety citation11 citations
- F
Have simulated fire drills held at unexpected times.
K 712 · September 25, 2024 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · September 25, 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 · September 25, 2024 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · September 25, 2024 · Corrected (the home has a date of correction)
- F
Establish roles under a Waiver declared by secretary.
E 26 · August 10, 2023 · Corrected (the home has a date of correction)
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · August 10, 2023 · 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 10, 2023 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · August 10, 2023 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · August 10, 2023 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · July 13, 2022 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · July 13, 2022 · Corrected (the home has a date of correction)