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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
2D
2E
0F
Potential for minimal harm
0A
0B
0C
April 10, 2026Standard inspection, Complaint inspection · 2 citations
- G
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure staff adhered to professional standards during medication administration for 1 of 1 licensed nurse (#3) reviewed for significant medication error. Resident 49 required emergency treatment and was hospitalized for monitoring due to a methadone overdose.
- G
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident was free from a significant medication error for 1 of 1 sampled resident (#49) reviewed for significant medication error. Resident 49 required emergency treatment and was hospitalized for monitoring due to a methadone (narcotic pain medication) overdose.
November 22, 2024Standard inspection, Complaint inspection · 3 citations
- 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 observation, interview, and record review it was determined the facility failed to ensure appropriate medication storage temperatures were logged and maintained and failed to ensure proper labeling of biologicals for 1 of 1 medication storage refrigerator and 1 of 3 treatment carts reviewed for safe medication storage. This placed residents at risk for receiving medications with reduced efficacy.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to process laundry to produce hygienically clean laundry and prevent the spread of infection for 1 of 1 laundry room reviewed for infection control. This placed residents at risk for contaminated laundry.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure resident respiratory equipment was maintained for 1 of 1 sampled resident (#12) reviewed for respiratory care. This placed residents at risk for increased respiratory concerns.
September 27, 2019Standard inspection · 1 citation
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were safe from accidents related to the use of bed rails (adjustable bars attached to bed and can range in size, used as an assistive device) and assessed the safety of grab bars (small cane shaped bar used as an assistive device) for 1 of 1 sampled resident (#43) reviewed for accidents. This placed residents at risk for continued accidents and possible injury.
Fire safety inspections
7 fire safety citations on file: 3 on April 10, 2026, 1 on November 22, 2024, 3 on September 27, 2019.
Every fire safety citation7 citations
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 10, 2026 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 10, 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 · April 10, 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 22, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 27, 2019 · Corrected (the home has a date of correction)
- F
Have power receptacles that are properly grounded.
K 912 · September 27, 2019 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · September 27, 2019 · Corrected (the home has a date of correction)