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
3D
1E
0F
Potential for minimal harm
0A
1B
0C
August 14, 2025Standard inspection, Complaint inspection · 2 citations
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, and physician and staff interviews, the facility failed to notify the physician immediately of a change in condition for 1 of 3 residents reviewed for change of status (Resident #67).
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, physician, and staff interviews, the facility failed to ensure a Resident's abnormal vital signs were reported to the on-coming shift. This was for 1 of 3 residents reviewed for quality of care (Resident #67).
May 9, 2024Standard inspection · 0 citations
December 15, 2022Standard inspection · 3 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review and staff interview the facility failed to remove dry goods stored past the use by date and ensure all dry goods stored ready for use had use by dates, failed to remove scoops with the handles resting in ingredients from four of four dry storage bins, failed to clean silverware intended for the lunch meal for one of one silverware tray, failed to label a container of ice cream in the reach in freezer and failed to label and dispose of one of one expired food products in a resident community refrigerator.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interviews, the facility failed to rescreen a resident with diagnoses including mental illness for Level II Preadmission Screening and Record Review (PASRR, a resident identified as having a serious mental illness or intellectual debility and/or developmental disability as defined by state and federal guidelines) for 1 of 3 residents reviewed for Preadmission Screening and Record Review (PASRR) (Resident # 41).
- B
Post nurse staffing information every day.
Inspectors wroteBased on record review and staff interview, the facility failed to post accurate staffing information for licensed and unlicensed nursing staff for 3 of 5 posted daily staffing forms reviewed.
Fire safety inspections
4 fire safety citations on file: 1 on May 9, 2024, 2 on December 15, 2022, 1 on June 10, 2021.
Every fire safety citation4 citations
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 9, 2024 · Corrected (the home has a date of correction)
- D
Have exits that are accessible at all times.
K 271 · December 15, 2022 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 15, 2022 · Corrected (the home has a date of correction)
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
K 111 · June 10, 2021 · Corrected (the home has a date of correction)