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
14D
2E
0F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 2 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide the correct dosage of medication for 1 of 6 sampled residents, reviewed for medication administration (Resident #49).
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide the medications as per physicians' orders for 1 of 2 sampled residents reviewed for dialysis (Resident #13).
November 7, 2024Standard inspection · 4 citations
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of policy and procedure, observation, interview and record review, the facility failed to 1) don appropriate personal protective equipment (PPE)/aprons while handling resident linen/gowns, during a Laundry Room Tour, 2) ensure that it donned appropriate (PPE)/gloves for a resident during a Glucometer Observation Demonstration for 1 of 2 sampled residents observed, (Resident #110,) and 3) appropriate (PPE) with a resident on Enhanced Barrier Protections (EBP) In accordance to CDC (Center for Disease Control and Prevention) guidelines and recommendations for 1 of 35 residents observed for EBP, Resident #116.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide assistance during dining for 1 of 2 sampled residents reviewed for activities of daily living (ADLs), (Resident # 100).
- D
Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on observation, interviews and record review, the facility failed to provide emergency dental service for 1 of 1 sampled resident reviewed for dental services (Resident #125).
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide food in a form that meets the needs for the Mechanical Soft Diets, during dining observations for 6 residents out of 37 residents on a Mechanical Soft Diet (Resident #127, Resident #22, Resident #101, Resident #47, Resident #104 and Resident #24).
February 21, 2024Complaint inspection · 1 citation
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on interview and record review, the facility failed to provide 1 of 3 sampled residents during closed record review, Resident #1, a personal refund within 30 days of discharge and a final itemized accounting bill.
December 22, 2023Complaint inspection · 1 citation
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of policy and procedure, record review and interview, the facility failed to ensure that the resident was seen by a Dermatologist for diagnostic follow-up, based on signs, symptomatology and per physician's written order, for 1 of 4 sampled residents, reviewed (Resident #4).
August 10, 2023Standard inspection · 8 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that include: ensure dish-machine is sanitizing dishware as per regulatory requirement, ensure the expired foods were discarded from the food supply, ensure that policy regarding left-over foods is followed, ensure exhaust hoods are cleaned and serviced on a regular basis, and ensure that food preparation equipment are cleaned and sanitized on a regular basis.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review and interviews, the facility failed to refer to residents requiring assistance, in a dignified manner during dining observation on the south wing (Resident #46, #105, # 129, #132 and #143).
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and interview, the facility failed to provide 1 of 1 sampled residents (Resident #12) with reasonable accomodations of personal needs and room preferences.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe environment for the residents. Specifically, unlocked sharps container cabinets which were lacking the proper internal red box in Resident #152 and #136's rooms, and several additional resident rooms, which were easily accessible.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on record review, policy reveiw, observations and interview, the facility failed to follow the Urinary Catheter Care policy, and failed to ensure staff provided urinary catheter care and peri care consistent with accepted standards of practice during Foley/peri-care provided for 1 of 1 sampled residents reviewed for urinary catheter care(Resident #142).
- 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 observation, interview and record review, the facility failed to ensure the physician ordered gastric tube feeding for 2 of sampled residents (Resident's #16 and #45) were followed.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, interviews, policy and record review, the facility failed to ensure pharmaceutical services provided the accurate administing of all drugs, as evidened by failure to administer scheduled medications in a timely manner for 6 of 7 sampled residents (Residents #2, #63, #97, #103, #116, and #121).
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide special physician ordered eating utensils for 1 of 1 sampled residents to assist when consuming meals (Resident #60).
Fire safety inspections
5 fire safety citations on file: 1 on April 9, 2026, 3 on November 7, 2024, 1 on August 10, 2023.
Every fire safety citation5 citations
- D
Have proper medical gas storage and administration areas.
K 923 · April 9, 2026 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · November 7, 2024 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · November 7, 2024 · Corrected (the home has a date of correction)
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · November 7, 2024 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · August 10, 2023 · Corrected (the home has a date of correction)