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 58 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
50D
7E
1F
Potential for minimal harm
0A
0B
0C
April 21, 2026Standard inspection, Complaint inspection · 11 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 observations, interviews and policy reviews, the facility failed to wear proper hair and beard restraints when serving and preparing food , practice safe storage of utensils when preparing beverages and practice safe handling of food to prevent cross contamination. This had the potential to affect all but 10 residents the facility identified as receiving enteral feeding. The census was 82.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observations, interviews and review of facility policy, the facility failed to report an allegation of reported sexual abuse for two (Resident #41and #61) of five residents reviewed for abuse. The census was 82.
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on observations, interviews and policy review the facility failed to conduct an investigation when there was a report of suspected sexual abuse. This affected two residents (#41 and #61) of five reviewed for abuse. The census was 82.
- 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 observation, medical record review, staff interview, and facility policy review, the facility failed to develop comprehensive care plans for three residents (Resident #04, Resident #56, and Resident #61) of 22 residents reviewed. The facility census was 82.
- 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, interview, and review of facility policy the facility failed to revise resident care plans. This deficient practice effected three (Residents #16, Resident #28, and Resident #62) of five residents reviewed for care plans. The facility census was 83. Findings Include:1. Review of Resident #28's medical records revealed an admission date of 2/27/26 and medical diagnosis of parkinsonism, metabolic encephalopathy, dementia, severe protein-calorie malnutrition, muscle weakness, abnormal gait and mobility, cognitive communication deficit, dysphagia, dysarthria and anarthria, dysphagia, and overactive bladder. Review of Resident #28's minimum data set (MDS) last updated 02/27/26 revealed a Brief Interview of Mental Status (BIMS) score of 10 indicating moderate cognitive impairment. [...]
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure Resident #11 was offered activities and had a detailed activities assessment and care plan. This affected one resident (#11) of one resident reviewed for activities. The facility census was 82.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, interview and facility policy review, the facility failed to notify the Psychiatric Certified Nurse Practitioner when a resident had behavior and mood changes. This afffected one resident (#41) of two residents reviewed for behavioral, mental and emotional health care and services. The census was 82.
- 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 interview and record review the facility failed to timely address Resident #79's Urinary Tract Infection (UTI). This affected one resident (#79) of two residents reviewed for UTI. The facility census was 82.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review the facility failed to ensure Resident #85's blood pressure medication was administered as ordered. This affected one resident (#85) of three residents reviewed for accidents. The facility census was 82.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview, record review, and review of the facility policy, the facility failed to ensure opioid medication was approved for the resident to take during a leave of absence for Resident #61. This resulted in an unobserved significant medication error for Resident #61. This affected one resident (#61) of one resident reviewed for pain. The facility census was 82.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policy, the facility failed to follow infection control procedures for a resident requiring enhanced barrier precautions this affected one (#04) and the facility failed to ensure staff followed neutropenic precautions which affected one (#42) . Five residents were reviewed for infection control procedures. The facility census was 82. Findings Include: 1. Resident #04 was admitted [DATE] and had diagnoses that include obstructive uropathy, chronic kidney disease (stage IIIA), and chronic systolic congestive heart failure. Review of the Resident's Minimum Data Set (MDS) 3.0 assessment dated [DATE] indicated the resident was cognitively intact and had an indwelling catheter. [...]
December 1, 2025Complaint inspection · 3 citations
- D
Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, interview and facility policy review the facility failed to maintain a medication error rate of five percent or less. This affected one resident (#45) of six residents observed during medication administration. The facility census was 86.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, record review, and facility policy review the facility failed to administer medications as ordered for Resident #45. This affected one of five residents observed during medication administration. The facility census was 86.
- 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 observation, interview and facility policy review the facility failed to properly label and store medications. This had the potential to affect all residents who receive medications from the facility. The census was 86.
September 23, 2025Complaint inspection · 3 citations
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interviews, the facility failed to provide assistance with bathing and shaving. This affected (Residents #42 and #44) of three residents reviewed for showers. The facility census was 80. Review of the medical record revealed Resident #42 was admitted on [DATE] with diagnoses that included acute embolism and thrombosis of left iliac vein, pulmonary embolism, severe protein-calorie deficiency, schizoaffective disorder, dementia, depression, and bipolar. The annual Minimum Data Set (MDS) dated [DATE] revealed it was very important for Resident #42 to choose the type of bathing. A care plan for activities of daily living dated 01/26/24 revealed Resident #42 required supervision with bathing/showering. [...]
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed to thoroughly assess a resident after a fall and timely notify the physician. This affected one resident (#3) of three residents reviewed for falls. The facility census was 80.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview, medical record review, and policy review, the facility failed to ensure Resident #3's pain was timely and appropriately addressed. This affected one resident (#3) of four residents reviewed for falls. The facility census was 80.
March 21, 2025Complaint inspection · 5 citations
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on closed medical record review, hospital record review, toxicology report review, review of the facility admission policy, review of the facility assessment and interviews, the facility failed to ensure Resident #82 received adequate, timely and appropriate treatment and continuity of care following admission to the facility resulting in a situation of neglect. This resulted in Immediate Jeopardy and serious life-threatening harm/subsequent death beginning on [DATE] at 8:30 P.M. when Resident #82, who had been hospitalized prior to admission, arrived at the facility for placement and staff failed to obtain physician orders for medications/treatments or contact the physician/medical director regarding the resident's admission. [...]
- 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 record review and staff interviews, the facility failed ensure care plans were comprehensive and addressed problems as stated in a self-reported incident (SRI). This affected one resident (#43) of three residents reviewed for care plans. The facility census was 81.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observation, staff interview and facility policy review, the facility failed to ensure comprehensive care related to tracheostomy care. This affected two (Resident #65 and #66) of three resident records reviewed for tracheostomy care. The census was 81.
- 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 observation, staff interview and review of facility policy and procedure, the facility failed to ensure medications were secured to prevent unauthorized access. This had the potential to affect seven (Residents #35, #42, #43, #48, #50, #56 and #58) of 24 residents on 300 hallway identified as cognitively impaired and independently mobile. The census was 81.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation, staff interview and facility policy and procedure review, the facility failed to ensure proper infection control guidelines were maintained during tracheostomy care. This affected one (Resident #65) of two residents reviewed for tracheostomy care. The census was 81.
October 21, 2024Complaint inspection · 1 citation
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and staff interview, the facility failed to protect the privacy of medical information for a resident. This affected one (#3) of three residents reviewed for privacy. The current census is 83.
September 4, 2024Complaint inspection · 3 citations
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to provide resident dignity with use of an indwelling urinary catheter. This deficient practice affected two (#5 and #27) of four residents reviewed for indwelling urinary catheters. The facility census was 81. Findings Include: 1. Review of the medical record for Resident #5 revealed an admission date 05/14/19 with diagnoses including chronic obstructive pulmonary disease (COPD), muscle weakness, high blood pressure, and obstructive uropathy. Resident #5 required assistance from staff for activities of daily living (ADL) tasks, and was assessed as cognitively intact. [...]
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure professional standards were maintained when a medication ordered for one (#74) was administered to another (#33) resident. This deficient practice affected two (#33 and #74) of two residents reviewed for staff borrowing medications. The facility census was 81. Findings Included: 1. Review of the medical record for Resident #74 revealed an admission date of 08/01/19 with diagnoses including dementia, type two diabetes mellitus, bipolar disorder, and schizoaffective disorder. Resident #74 had impaired cognition and required assistance with activities of daily living (ADL) tasks and medication administration. Review of the physician orders for Resident #74 revealed a one-time order dated 08/07/24 for the antipsychotic medication Zyprexa 10 milligrams (mg) to be given via intramuscular (IM) injection. [...]
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to prevent the administration of an unnecessary antipsychotic medication. This deficient practice affected one (#33) out of two resident reviewed for antipsychotic medication use. The facility census was 81. Findings Include: Review of the medical record for Resident #33 revealed an admission date for 09/09/22 with a readmission date 08/31/24. Diagnoses included epilepsy, high blood pressure, schizoaffective disorder, and traumatic brain injury. Resident #33 was assessed with impaired cognition, impaired decision making, and physical behaviors towards others. Review of the physician orders for Resident #33 revealed a one-time order dated 08/12/24 for the antipsychotic medication Zyprexa 10 milligrams (mg) to be given via intramuscular (IM) injection for increased agitation. [...]
August 12, 2024Standard inspection · 8 citations
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and staff interview, the facility failed to have a carbon monoxide detector in the kitchen with a gas stove present. This had the potential to affect all 90 residents residing in the facility. Findings Include: Observation on 08/05/24 at 9:30 A.M. revealed in the facility main kitchen, there was a gas stove within the kitchen area. There was no carbon monoxide detector in this area. Interview with Food Service Director #195 on 08/05/24 at 9:32 A.M. confirmed they did not have a carbon monoxide detector in the kitchen with a permanently installed fuel burning appliance (stove). She confirmed there is a designated spot in place to have a carbon monoxide detector, but it was not in place. She confirmed she did not know how long it had not been in place.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, resident interview, staff interview, medical record review, and facility policy review, the facility failed to maintain smoking products. This affected one (Resident #20) of one reviewed for smoking. The facility census was 90.
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on record review, observation, and interview, the facility failed to protect the privacy of Resident #18 and Resident #12's medical records. This affected two of twenty-two medical records reviewed for the annual survey. The facility census was 90.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure all resident Pre-admission Screening and Resident Review (PASRR) documents were completed as required. This affected one (Resident #78) of three residents reviewed for PASRR documents. The census was 90. Findings Include: Resident #78 was admitted to the facility on [DATE]. His diagnoses were moderate protein-calorie malnutrition, hypotension, muscle weakness, mood disorder, dysphagia, catatonic disorder due to known physiological condition, cognitive communication deficit, major depressive disorder, hyperlipidemia, altered mental status, post traumatic stress disorder. anxiety disorder, hypertension, suicidal ideations, acute kidney failure, hypothyroidism, and encephalopathy. Review of his Minimum Data Set (MDS) assessment dated [DATE] revealed he was cognitively intact. [...]
- 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 resident interview, medical record review and facility policy review, the facility failed to create a care plan related to Post Traumatic Stress Disorder (PTSD) for residents. This affected one (Resident #7) of two residents reviewed for care plans. The facility census was 90.
- 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 staff interview, record review, policy review, and resident interview, the facility failed to conduct quarterly care conferences. This affected three (Residents #4, #40 and #65) of three residents reviewed for care conferences. The facility census was 90.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, interviews, and observations, the facility failed to properly monitor and accurately document skin abnormalities. This affected one (Resident #56) out of the one reviewed for skin conditions. The facility census was 90.
- D
Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on resident interview, medical record review and facility policy review, the facility did not effectively assess residents for Post Traumatic Stress Disorder (PTSD). This affected one (Resident #7) of five residents reviewed for trauma informed care. The facility census was 90.
January 31, 2024Complaint inspection · 2 citations
- D
Prepare residents for a safe transfer or discharge from the nursing home.
Inspectors wroteBased on medical record review, resident interview, family interviews, staff interviews, and review of facility policies, the facility failed to assist with discharge planning. This affected one (Resident #82) of three residents reviewed for discharge planning. Additionally, the facility failed to document discharge planning efforts and include the residents in discharge planning. This affected three (Residents #82, #31, and #50) of three residents reviewed for discharge planning. The facility census was 77.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, family interview, and staff interviews, the facility failed to ensure a resident was provided with oxygen as ordered at discharge. This affected one (Resident #82) of three reviewed for oxygen. Facility census was 77.
December 1, 2023Complaint inspection · 1 citation
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on medical record review and resident and staff interviews, the facility failed to honor a resident's preference for bathing time. This affected one (#74) of three residents reviewed for bathing. The facility census was 74.
October 25, 2023Complaint inspection · 2 citations
- 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 medical record review, observation, staff interview, and resident interview, the facility failed to ensure resident rooms were maintained in a safe, clean, and homelike manner. This affected three residents (#11, #47, and #48) out of five residents reviewed for the environment. The facility census was 76.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on medical record review, resident interview, and staff interview, the facility failed to accommodate residents cultural preferences for meals. This affected one (Resident #11) out of three residents reviewed for meals. The facility census was 76.
February 14, 2022Standard inspection · 19 citations
- E
Assure the security of all personal funds of residents deposited with the facility.
Inspectors wroteBased on staff interview and record review, the facility failed to ensure the surety bond remained adequate to cover all resident account totals. This had the potential to affect all 30 Residents (#1, #7, #9, #11, #16, #17, #18, #21, #22, #23, #30, #34, #35, #36, #39, #42, #48, #53, #54, #55, #56, #57, #58, #59, #61, #66, #67, #68, #69, #74) who had an open resident fund account. The facility census was 77. Findings Include: Review of the surety bond dated 05/15/20 revealed the surety bond capacity was $30,000. Review of monthly balance information revealed the Resident account balances totaled over $30,000 each month since 05/2020. In 05/2020, the balance was $45,762.70. In 06/2020, the balance was $46,477.93. In 07/2020, the balance was $41,722.65. In 08/2020, the balance was $43,836.74. In 09/2020, the balance was $38,335.02. In 10/2020, the balance was $36,022.80. [...]
- E
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 and staff interview, the facility failed to ensure residents had a clean, homelike environment, and the room, furniture, and privacy curtain were clean and in good repair. This affected eight (Resident #4, #5, #6, #11, #25, #38, #46 and #432) out of 77 residents residing in the facility. The census was 77.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure the Ombudsman was notified of resident transfers and discharges. This affected four (Resident #32, #40, #46, and #330) of five residents reviewed for transfer/discharge. The facility census was 77. Findings Include: 1. Review of the medical record for Resident #32 revealed an admission date of 11/16/21. Resident #32's diagnoses included diabetes type two, COVID-19, and fractured nasal bones. Review of the medical record for Resident #32 revealed Resident #32 was discharged to the hospital on [DATE]. There was no documented evidence to indicate the Ombudsman was notified of Resident #32's discharge to the hospital on [DATE]. 2. Review of the medical record for Resident #40 revealed an admission date of 02/05/21. [...]
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, observation, staff and resident interview, and review of facilty policy, the facility failed to ensure nail care and oral care was provided for dependent residents. This affected five (Residents #5, #12, #56, #65 and #72) out of five residents reviewed for nail and oral care. The census was 77.
- 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, staff interview, review of manufactures instructions, and review of facility policy, the facility failed to ensure medications were stored properly, not stored with food, and expired medication and laboratory vials were disposed of. This affected nine (Resident #2, #3, #27, #34, #39, #45, #48, #55, and #435) out of 77 residents in the facility. The census was 77.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, staff interviews, and policy review, the facility failed to ensure resident advanced directives were accurate. This affected one (Resident #53) out of one resident reviewed for advanced directives. The facility census was 77. Findings Include: Review of the medical record for Resident #53 revealed an admission date of 07/04/20. Diagnoses included hemiplegia and hemiparesis following cerebral infarction, Parkinson's disease, dementia without behaviors, bipolar disorder, and schizophrenia. Review of the Annual Minimum Data Set assessment dated [DATE] revealed Resident #53 was rarely or never understood. Review of Resident #53's physician orders dated 12/13/21 revealed an order to change Resident #53's code status to Do Not Rescuscitate Comfort Care (DNRCC). [...]
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on medical record review, review of a facility self-reported incident, staff interview, and policy review, the facility failed to implement their abuse policy and thoroughly investigate an allegation of physical abuse. This affected one (Resident #56) out of one resident reviewed for abuse. The facility census was 77.
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, review of a facility self-reported incident, staff interview, and policy review, the facility failed to thoroughly investigate an allegation of physical abuse. This affected one (Resident #56) out of one resident reviewed for abuse. The facility census was 77.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to ensure bed hold notices were provided upon transfer to the hospital. This affected one (Resident #46) of four residents reviewed for bed hold notices. The census was 77.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to accurately complete Pre-admission Screening and Resident Review (PASRR) documents. This affected two (Resident #53 and #56) of three residents reviewed for PASRR's. The facility census was 77.
- 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 medical record review, staff interview, observation, and review of facility policy, the facility failed to ensure plans of care were revised to include accurate fall interventions. This affected two (Resident #32 and #72) of four residents reviewed for falls. The census was 77.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, resident interview, and staff interview, the facility failed to ensure daily weights were completed as ordered. This affected one (Resident #66) out of five residents reviewed for weight records. The facility census was 77.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, interview and policy review, the facility failed to ensure falls were documented and interventions were in place. This affected one (Resident #72) of four residents reviewed for accidents. The facility census was 77.
- 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 medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure gastrostomy syringes were rinsed after use and resident's had a dressing around their tube feeding site. This affected two (Resident #65 and #72) of two residents reviewed for tube feeding. The facility census was 77.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure oxygen supplies were dated and tracheostomy (trach) supplies were available at bedside as ordered. This affected one (Resident #65) of one resident reviewed for respiratory care. The facility identified 10 Residents who received respiratory treatments. The facility census was 77.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review, review of pharmacy monthly medication reviews, resident interview, and staff interview, the facility failed to ensure resident drug allergies were identified and addressed during monthly pharmacy medication regimen reviews. This affected two (Resident #32 and #66) out of five residents reviewed for unnecessary medications. The facility census was 77.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure laboratory tests were completed as ordered. This affected one (Resident #5) of five residents reviewed for unnecessary medications. The facility census was 77.
- D
Provide or obtain dental services for each resident.
Inspectors wroteBased on medical record review, staff interview, resident interview, and review of a dental appointments log, the facility failed to ensure dental services were provided to residents in a timely manner. This affected one (Resident #53) of one resident reviewed for dental services. The facility census was 77.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure hospice records including the hospice plan of care were accessible and maintained in the facility. This affected one (Resident #53) of one resident reviewed for hospice. The facility census was 77.
Fire safety inspections
8 fire safety citations on file: 2 on April 21, 2026, 4 on August 12, 2024, 2 on February 14, 2022.
Every fire safety citation8 citations
- F
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 21, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 21, 2026 · Corrected (the home has a date of correction)
- F
Construct fire resistant interior walls.
K 331 · August 12, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · August 12, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 12, 2024 · Corrected (the home has a date of correction)
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · August 12, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · February 14, 2022 · Corrected (the home has a date of correction)
- E
Provide properly sized and located linen or trash receptacles.
K 754 · February 14, 2022 · Corrected (the home has a date of correction)