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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
1F
Potential for minimal harm
0A
0B
0C
February 18, 2026Standard inspection · 3 citations
- 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, the facility failed to transfer a resident (R1) with a gait belt. This applies to 1 of 3 residents reviewed for safety and supervision in the sample of 14.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to check expiration dates of insulin prior to administering expired insulin to a resident (R3). This applies to 1 of 1 resident reviewed for medications in the sample of 14.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to perform hand hygiene and glove changes while providing incontinence care and colostomy care to a resident (R1). This applies to 1 of 2 residents reviewed for incontinence care in the sample of 14.
April 9, 2024Standard inspection · 3 citations
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the water system was flushed to prevent Legionnaire disease in the water. This applies to all 16 resident residing in the facility.
- 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 the facility failed to ensure a resident with a history of dysphagia was supervised and failed to ensure the recommended swallowing strategies were implemented. This applies to 1 of 8 residents (R11) reviewed for safety.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident's received significant medications as ordered by the physician. This applies to 1 of 6 residents (R5) reviewed for medication administration in the sample of 8.
October 30, 2023Complaint inspection · 1 citation
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident was free of abuse which applies to 1 of 5 residents (R1) reviewed for abuse in a sample of 5.
June 7, 2023Standard inspection · 2 citations
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pressure related skin changes were reported and assessed, and interventions were implemented for 1 of 3 residents (R5) in the sample of 11 reviewed for pressure injuries.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure oxygen equipment was changed weekly for 1 of 2 residents (R7) reviewed for oxygen administration in the sample of 11.
Fire safety inspections
6 fire safety citations on file: 2 on April 9, 2024, 2 on June 7, 2023, 2 on April 13, 2022.
Every fire safety citation6 citations
- F
Have elevators that firefighters can control in the event of a fire.
K 531 · April 9, 2024 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · April 9, 2024 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · June 7, 2023 · Corrected (the home has a date of correction)
- F
Address subsistence needs for staff and patients.
E 15 · June 7, 2023 · Corrected (the home has a date of correction)
- F
Establish policies and procedures for sheltering.
E 22 · April 13, 2022 · Corrected (the home has a date of correction)
- F
Implement emergency and standby power systems.
E 41 · April 13, 2022 · Corrected (the home has a date of correction)