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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
6E
1F
Potential for minimal harm
0A
0B
0C
June 10, 2026Standard inspection · 11 citations
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on interview and record review, the facility failed to ensure Certified Nurse Aide (CNA) training of no less than 12 hours per year was completed for three of five CNAs reviewed for nurse aide training hours.
- E
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 the provision of adequate supplies, care and services to meet the personal hygiene needs of 1 Resident (#4) of 12 residents reviewed for Activities of Daily Living. This deficient practice resulted in resident dissatisfaction with the lack of assistance with personal hygiene and showers and has the potential to affect all residents who required staff assistance and clean linens for the completion of personal hygiene.
- E
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 the temperature of the medication storage refrigerator was maintained at acceptable temperatures. This deficient practice resulted the exposure of resident medications to temperatures outside of acceptable storage ranges and the potential for reduced efficacy of resident medications.
- 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 provide palatable food, served at a safe an appetizing temperature, for 8 Confidential Residents of 12 residents reviewed for food palatability. This deficient practice resulted in resident dissatisfaction with being served cold food, and the potential for foodborne illness with potentially hazardous foods served at an unsafe temperature.
- 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 that hot and cold food items were maintained at safe temperatures during meal service to prevent the risk of foodborne illness for residents.
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and interview, the facility failed to protect the privacy of medical records for one Resident (#21) of one resident reviewed for privacy of medical records.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wrote628Based on interview and record review the facility failed to:Provide a bed hold notice for one Resident (#1) of two residents reviewed for hospitalization andSend a copy of the residents written notice of transfer to the Office of the State Long term Care Ombudsman for two Resident's (#1 & #46) of two residents reviewed for hospitalization.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement revision to care plans to address necessary care and services provided for two Residents (#4 & #1) of two residents reviewed for care plan revisions.
- 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 interview and record review the facility failed to implement a restorative nursing program to maintain or improve Range of Motion (ROM) for two Residents (#26 and #42) of two residents reviewed for range of motion.
- 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 interview and record review the facility failed to meet the increased protein needs of one Resident (#4) out of one resident reviewed for their daily nutritional needs.
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident/resident representative understood the purpose of binding arbitration agreements (an out of court alternate form of dispute resolution) for two Residents ( #43 & #22 ) of three residents reviewed for arbitration.
May 26, 2026Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis deficient practice pertains to Facility Reported Incident (FRI) 3014540. Based on observation, interview, and record review, the facility failed to prevent, detect, and respond to an elopement for one Resident (#30) of four residents reviewed for elopement.
April 10, 2025Standard inspection · 1 citation
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor fluids as ordered for one Resident (R6) of two residents reviewed for fluid concerns. This deficient practice resulted in the potential for fluid imbalance.
December 18, 2024Complaint inspection · 1 citation
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteThis deficiency pertains to MI00148756. Based on interview and record review, the facility failed to prevent misappropriation of narcotic medication for one Resident (#1) of five residents reviewed for misappropriation.
May 8, 2024Standard 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 observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety potentially resulting in a food borne illness among any or all 42 residents.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed in implement enhanced barrier precautions (EBP) for seven Residents (R3, R7, R17, R23, R29, R33, and R36) of twelve sampled residents reviewed for infection control practices.
- 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 implement interventions to address range of motion (ROM) for one Resident (R33) of two residents reviewed for limited range of motion. This deficient practice resulted in the potential for extreme pain, discomfort, and worsening of contractures.
Fire safety inspections
12 fire safety citations on file: 3 on June 10, 2026, 5 on April 10, 2025, 4 on May 8, 2024.
Every fire safety citation12 citations
- F
List the names and contact information of those in the facility.
E 30 · June 10, 2026 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · June 10, 2026 · Corrected (the home has a date of correction)
- F
Meet other general requirements.
K 100 · June 10, 2026 · deficient, provider has
- F
Conduct testing and exercise requirements.
E 39 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · April 10, 2025 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · May 8, 2024 · Corrected (the home has a date of correction)
- E
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 · May 8, 2024 · Corrected (the home has a date of correction)
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K 232 · May 8, 2024 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · May 8, 2024 · Corrected (the home has a date of correction)