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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
3F
Potential for minimal harm
0A
0B
0C
April 8, 2026Standard 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 facility policy review, observations, and interviews, the facility failed to maintain 1 of 1 kitchen and equipment in a clean and sanitary condition, failed to dispose of expired food items, failed to label and date open food items, and failed to maintain nourishment room refrigerator in a clean and sanitary condition in 1 of 2 nourishment rooms which had the potential to affect 71 of 73 residents.
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure resident health information remained private and confidential for 1 resident (Resident #67) of 3 residents observed during medication administration, which had the potential to allow unauthorized individuals access to the residents's private health information.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, observations, and interviews the facility failed to ensure respiratory equipment was stored appropriately for 4 residents (Residents #1, #5, #27, and #72) of 11 residents observed for oxygen therapy.
- 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, medical record review, observations, and interviews, the facility failed to ensure medications were stored properly for 2 residents, (Resident's #39 and #49), and failed to properly store 1 medicated patch.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to provide hand hygiene prior to dining for 3 residents (Resident #72, #30, and #39) of 15 residents observed for dining. Review of the facility's policy titled, Resident Dining Services, revised 4/9/2025, revealed .Resident's receive the necessary services to maintain .personal hygiene .Associates involved in food services will perform hand hygiene prior to distributing trays to residents . Review of the medical record revealed Resident #72 was admitted to the facility on [DATE] with diagnoses including Diabetes, Dementia, and Muscle Weakness. Review of the comprehensive care plan for Resident #72 dated 2/12/2026, revealed .Eating: Requires setup .Personal Hygiene: [...]
September 21, 2022Standard 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 facility policy review, observation, and interview the facility failed to maintain a sanitary kitchen with the potential to affect 72 of 73 residents in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medical information was not visible for 2 residents (#39 and #66) of 18 residents reviewed for dignity.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on the Centers for Medicare & Medicaid Services Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual, facility policy review, medical record review, and interviews, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 2 residents (Resident #48 and Resident #50) of 18 residents reviewed for MDS assessments.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review and interview, the facility failed to refer 1 resident (Resident #31) of 4 residents reviewed for Pre-admission Screening and Resident Review (PASARR), to the state-designated authority for a Level II PASARR after the resident was identified with a new mental health diagnosis.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of the facility policy and procedures, record review, observation and interview, the facility failed to maintain appropriate infection control practices during a dressing change for 1 resident (Resident #31) of 2 residents observed for a dressing change observed and during medication administration for 2 residents (Residents #35 and #32) of 6 residents observed for medication administration.
August 28, 2019Standard inspection · 6 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 facility policy review, observation, and interview, the facility failed to maintain food at correct temperatures in 1 of 1 walk in cooler; failed to ensure food was sealed and dated in 1 of 1 freezer; failed to ensure pans were completely air dried before storing; failed to clean kitchen equipment; failed to ensure food was sealed and not stored past the expiration date in 1 of 1 dry storage room; failed to maintain resident foods in a sanitary manner in 3 of 3 nourishment rooms, potentially affecting 54 of 55 residents.
- 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 facility policy review, observation, and interview, the facility failed to ensure medications, biologicals, and medical supplies were not expired in 2 of 3 medication rooms observed.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policies, medical record review, review of facility investigation, observations, and interviews, the facility failed to prevent abuse for 1 resident (#30) of 55 residents reviewed for abuse.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review, review of facility investigation, observation, and interviews, the facility failed to ensure allegations of abuse were reported timely to the State Survey Agency for 1 resident (#30) of 55 residents reviewed for abuse.
- 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 facility policy review, medical record review, and interview, the facility failed to ensure residents and/or resident's representative participation in care planning for 2 residents (#23, #52) of 9 residents reviewed for care planning.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, review of falls investigations, and interview, the facility failed to implement a fall intervention to prevent accidents for 1 resident (#52) of 3 residents reviewed.
Fire safety inspections
6 fire safety citations on file: 1 on April 8, 2026, 4 on September 21, 2022, 1 on August 28, 2019.
Every fire safety citation6 citations
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · April 8, 2026 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · September 21, 2022 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · September 21, 2022 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · September 21, 2022 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · September 21, 2022 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · August 28, 2019 · Corrected (the home has a date of correction)