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
4D
1E
0F
Potential for minimal harm
0A
0B
0C
June 4, 2026Standard inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased upon clinical record review, facility observation, review of facility policies, and staff interviews, it was determined that the facility failed to implement enhanced barrier precautions for one resident (Resident #13) out of 16 residents reviewed. Review of facility policy Enhanced Barrier Precautions, last reviewed April 23, 2025, states Enhanced Barrier Precautions will be used for those residents with chronic wounds. Review of Resident #13's wound assessment report dated May 28, 2026, finds that resident has a neuropathic ulcer (a chronic, slow healing, open sore or wound caused by nerve damage and poor circulation) on the left medial first metatarsophalangeal base (where the first toe connects to the long foot bone). [...]
May 29, 2025Standard inspection · 4 citations
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on review of facility policy, staff interviews, and clinical record review, it was determined that the facility failed to discuss the risks/benefits and obtain consent for newly ordered antipsychotic and opioid medications for three of twelve residents records reviewed (Residents 2, 22, and 29).
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident and/or their representative received written notice of a statement of the resident's appeal rights, including the name, address (mailing and email), telephone number of the entity which receives such requests, and the name, address (mailing and email), and telephone number of the Office of the State Long-Term Care Ombudsman; and failed to provide notice of the transfer to the Office of the State Long-Term Care Ombudsman for one of two residents reviewed for hospital transfers ( Resident 7). Findings Include: Review of Resident 7's physician orders revealed diagnoses that included age-related macular degeneration (an eye disease that affects central vision) and muscle weakness. [...]
- 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 policy review, clinical record review, and staff interview, it was determined that the facility failed to implement a comprehensive person-centered care plan for one of 12 residents reviewed (Resident 7). Findings Include: Review of the facility's policy, titled Comprehensive Care Plans, recently reviewed May 21, 2025, reads [Facility] will develop a comprehensive care plan for each resident which includes measurable goals and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. Review of Resident 7's physician orders revealed diagnoses that included age-related macular degeneration (an eye disease that affects central vision) and muscle weakness. [...]
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on facility policy review, observation, clinical record review, and staff interviews, it was determined that the facility failed to provide appropriate care and services to residents receiving tube feedings for one of one resident's reviewed receiving a tube feeding (Resident 3).
April 12, 2024Standard inspection · 0 citations
Fire safety inspections
4 fire safety citations on file: 1 on May 29, 2025, 2 on April 12, 2024, 1 on June 2, 2023.
Every fire safety citation4 citations
- E
Install corridor and hallway doors that block smoke.
K 363 · May 29, 2025 · Corrected (the home has a date of correction)
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · April 12, 2024 · Corrected (the home has a date of correction)
- E
Provide two separate exits in rooms of more than 1000 square feet.
K 253 · April 12, 2024 · Corrected (the home has a date of correction)
- D
Have properly located and lighted "Exit" signs.
K 293 · June 2, 2023 · Corrected (the home has a date of correction)