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 7 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
1E
0F
Potential for minimal harm
0A
0B
0C
April 29, 2026Standard inspection · 3 citations
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record reviews, observations, and interviews, the facility failed to maintain infection control practices when staff did not use Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP) for 1 resident (Resident #21), and failed to identify and implement EBP for 4 residents (Residents #44, #90, #110, and #112) of 15 residents reviewed for EBP needs.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to accurately assess the resident upon admission and develop a care plan to account for the resident's experience and preferences to eliminate or mitigate triggers that may cause re-traumatization for 1 resident (Resident #107) of 2 residents reviewed with Post Traumatic Stress Disorder (PTSD).
- 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 facility policy review, manufacturer guidelines review, observations, and interviews, the facility failed to properly store a controlled substance for 1 resident in 1 medication room (Resident #112 in the 100 medication room), and failed to maintain refrigerator temperatures specified for vaccine storage in 1 medication room (200 medication room) of 3 medication rooms observed.
December 14, 2022Standard inspection · 3 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to follow a physician's order for medication administration for 1 resident (Resident #56) of 6 residents reviewed for medications.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on the facility policy review, medical record review, observation, and interview, the facility failed to implement a fall intervention for 1 resident (Resident #42) of 3 residents reviewed for falls.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and interview, the facility failed to maintain an accurate medical record for 1 resident (Resident #56) of 18 residents reviewed for medical records.
September 25, 2019Standard inspection · 1 citation
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review and interview the facility failed to complete an accurate Discharge Minimum Data Set (MDS) Assessment for 1 resident (#48) of 3 residents reviewed for discharge.
Fire safety inspections
5 fire safety citations on file: 1 on April 29, 2026, 3 on December 14, 2022, 1 on September 25, 2019.
Every fire safety citation5 citations
- D
Have restrictions on the use of portable space heaters.
K 781 · April 29, 2026 · Corrected (the home has a date of correction)
- E
Use approved construction type or materials.
K 161 · December 14, 2022 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · December 14, 2022 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 14, 2022 · Corrected (the home has a date of correction)
- F
Install proper backup exit lighting.
K 281 · September 25, 2019 · Corrected (the home has a date of correction)