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 3 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
0E
0F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection · 0 citations
November 14, 2024Standard inspection · 0 citations
December 18, 2019Standard inspection · 3 citations
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview, record review, and policy review, it was determined that the facility failed to ensure the resident or the resident's representative received a written notice of the facility's bed hold policy when the residents were hospitalized for two (2) of two (2) residents from a sample of twenty (20) residents. Resident #11 was transferred to the hospital on [DATE] and Resident #51 was transferred to the hospital on [DATE]. There was no evidence that Resident #11's or Resident #51's responsible party was given written notification of the bed hold and the reserve bed payment policy upon transfer to the hospital.
- 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, record review, and review of the facility policy it was determined the facility failed to ensure the care plan for one (1) of eighteen (18) sampled residents was revised after a change in the resident's status. Resident #10 had a change in code status from do not resuscitate (DNR) to full code status per advance directive signed on 01/25/19. Review of the care plan did not reveal the update until 08/01/19.
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined that the facility failed to ensure an ongoing program of activities was developed to meet the needs of one (1) of eighteen (18) sampled residents (Resident #1). Interview conducted with Resident #1 on 12/16/19 at 11:01 AM, revealed the resident was bored on the weekend as there was only one activity (Bingo for one hour) offered on Saturday and no activity other than church services on Sunday.
Fire safety inspections
4 fire safety citations on file: 2 on February 19, 2026, 1 on November 14, 2024, 1 on December 18, 2019.
Every fire safety citation4 citations
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · February 19, 2026 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · February 19, 2026 · Corrected (the home has a date of correction)
- F
Ensure proper usage of power strips and extension cords.
K 920 · November 14, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 18, 2019 · Corrected (the home has a date of correction)