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
5D
0E
0F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection · 3 citations
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to notify the physician of a significant weight gain for a resident with a diagnosis of fluid overload. This affected one resident (#22) of three residents reviewed for nutrition. The facility census was 98.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, resident interview, staff interviews, review of the Self-Reported Incident (SRI) and facility policy review, the facility failed to timely and adequately respond after identification of an incident with injury including assessing on the day of the incident, timely notification of the physician, notification to hospice, completing a skin assessment and logging the incident on the facility's incident log. This affected one resident (#86) of one resident reviewed for incidents. The facility census was 98.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, interview, review of the facility policy and Centers for Disease Control and Prevention (CDC) informational sheet, the facility failed to ensure appropriate testing was completed to rule out multi-drug resistant organisms (MDROs) and use appropriate enhanced barrier precautions (EBP) for MDROs. This affected one Resident (#11) of four residents reviewed for urinary tract infections (UTIs). The facility census was 98.
February 22, 2024Standard inspection · 2 citations
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, record review, and facility policy review the facility failed to obtain a physician order for medication at the bedside, assess and document self-medication administration for Resident #45. This affected one resident (#45) out of seven residents reviewed for medication administration. The facility census was 97. Findings Include: Review of the medical record for Resident #45 revealed an admission date of 11/18/22. Diagnoses included psoriasis, other pruritus, intrinsic allergic eczema, and chronic kidney disease stage 3. Review of the physician order dated 11/14/23 indicated Triamcinolone Acetonide External Cream 0.5 % (Triamcinolone Acetonide (Topical)), apply to arms, chest, trunk, legs topically every shift on Monday, Tuesday, Wednesday and Thursday for eczema. [...]
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to monitor medication parameters per the physician orders for Resident #40. This affected one resident (#40) of five residents reviewed for unnecessary medications. The facility census was 97.
November 29, 2021Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 3 on February 19, 2026, 3 on February 22, 2024, 3 on November 29, 2021.
Every fire safety citation9 citations
- F
Provide properly protected cooking facilities.
K 324 · February 19, 2026 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · February 19, 2026 · Corrected (the home has a date of correction)
- E
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
K 925 · February 19, 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 · February 22, 2024 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of portable space heaters.
K 781 · February 22, 2024 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · February 22, 2024 · Corrected (the home has a date of correction)
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · November 29, 2021 · 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 29, 2021 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · November 29, 2021 · Corrected (the home has a date of correction)