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
1G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
September 19, 2025Standard inspection · 0 citations
May 29, 2024Standard inspection, Complaint inspection · 2 citations
- 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 record review and interview conducted during the Recertification Survey from 05/21/2024 to 05/29/2024, the facility did not ensure that a resident's comprehensive care plans were reviewed and revised to accurately reflect a resident's current status. This was evident in 1 of 38 sampled residents. Specifically, Resident #148's comprehensive care plan did not document Resident's urinary catheter was discontinued.
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview and record review conducted during the Recertification and Complaint Survey (NY00325508) from 05/21/2024 to 05/29/2024, the facility did not ensure each resident received adequate supervision and assistance devices consistent with a resident's needs, goals, and care plan to prevent accidents. This was evident for 1 (Resident #134) of 38 total sampled residents. Specifically, Resident #134 required 2 staff assistance using mechanical lift for transfers as documented in the Comprehensive Care Plan. On 10/04/2023 at 5:30 PM, Certified Nursing Assistants #6 and #3 transferred Resident #134 from wheelchair to bed without using the mechanical lift. During the transfer, Resident #134 felt weak while in a standing position, and their left leg scraped the wheelchair that caused a laceration that required emergency medical intervention. [...]
May 13, 2022Standard inspection · 3 citations
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interviews conducted during the Recertification survey from 5/9/2022 to 5/13/2022, the facility did not ensure that an assessment accurately reflected the resident's status. Specifically, the Minimum Data Set (MDS) 3.0 assessment inaccurately documented that a resident did not have UTI in last 30 days. This was evident for 1 out of 1 resident reviewed for Resident Assessment out of an investigative sample of 38 residents. (Resident #138)
- 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 record review and interviews conducted during the Recertification Survey from 5/9/2022 to 5/13/2022, the facility did not ensure, to the extent practicable, that residents/resident representatives were involved in developing the comprehensive care plan and making decisions about their care. Specifically, the facility did not ensure that residents and resident representatives were afforded the opportunity to participate in the Comprehensive Care Plan (CCP) meeting. This was evident for 1 of 1 resident reviewed for Participation in Care Planning out of a sample of 38 residents. (Resident # 138)
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review during the Recertification & Complaint Survey (NY00284843) conducted from 5/9/22 - 5/13/22, the facility did not ensure the environment remained free of accident hazards as is possible, and that each resident received adequate supervision and assistance to prevent accidents. Specifically, 1) a resident sustained a blister to their right middle finger after using the unit microwave unsupervised and, 2) a resident was observed accessing the coffee dispensing machine in the unit pantry, without supervision and with a risk for injury. This was evident in 2 of 3 residents reviewed for Accidents out of a sample of 38 residents. (Resident #132 and #133)
Fire safety inspections
14 fire safety citations on file: 1 on September 19, 2025, 1 on May 29, 2024, 12 on May 13, 2022.
Every fire safety citation14 citations
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · September 19, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 29, 2024 · Corrected (the home has a date of correction)
- F
Use approved construction type or materials.
K 161 · May 13, 2022 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · May 13, 2022 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K 232 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Have exits that are accessible at all times.
K 271 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Have properly located and lighted "Exit" signs.
K 293 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Install an approved automatic sprinkler system.
K 351 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · May 13, 2022 · Corrected (the home has a date of correction)
- D
Meet requirements for the installation and maintenance of electrical systems.
K 911 · May 13, 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 · May 13, 2022 · Corrected (the home has a date of correction)