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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
0E
0F
Potential for minimal harm
0A
0B
0C
March 19, 2026Standard inspection · 3 citations
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to attempt a gradual dose reduction for a resident prescribed psychotropic medication (medication that affect a person's mental state) for 1 of 5 residents reviewed for medications (Resident #16). The facility reported a census of 55 residents.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review, staff interviews and policy review, the facility failed to ensure the drug regimen is free from unnecessary drugs, to include a resident on an antibiotic for excessive duration and without adequate monitoring for 1 of 5 residents reviewed for unnecessary medication (Resident #47). The facility reported a census of 55 residents.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interviews and policy review, the facility failed to date, seal, and label open food items stored in the kitchen pantry. The facility reported a census of 55 residents.
March 6, 2025Standard inspection · 2 citations
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to obtain final cooking food temperatures on alternative menu items prepared in the satellite kitchen. The facility reported a census of 59 residents.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on electronic health record review, staff interview, and policy review, the facility failed to ensure documentation of insulin administration for 1 of 4 resident reviewed for medication regimen review (Resident #12). The facility reported a census of 59 residents.
April 15, 2024Standard inspection, Complaint inspection · 5 citations
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, policy review, and staff and resident interviews, the facility failed to ensure staff treated residents with dignity and respect for 1 of 1 residents reviewed for dignity (Resident #45). The facility reported a census of 57 residents.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, policy review, and staff and resident interviews, the facility failed to report an allegation of abuse in a timely manner to the State Agency for 1 of 2 residents reviewed for abuse (Resident #45). The facility reported a census of 57 residents.
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review, policy review, and staff and resident interviews, the facility failed to initiate an abuse investigation and failed to separate residents from alleged perpetrators of abuse in a timely manner after staff became aware of a resident report of maltreatment for 1 of 2 residents reviewed for abuse (Resident #45). The facility reported a census of 57 residents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, family and staff interviews, and record review, the facility failed to provide oral care after meals as directed and incontinent care for 1 of 3 residents reviewed for Activities of Living (Resident #51). The facility reported a census of 57 residents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, clinical record review, staff interview, and policy review, the facility failed to notify the provider after a change in condition in a pressure ulcer for 1 of 3 residents reviewed for pressure ulcers(Resident #37). The facility reported a census of 37 residents.
Fire safety inspections
5 fire safety citations on file: 1 on March 19, 2026, 2 on March 6, 2025, 2 on April 15, 2024.
Every fire safety citation5 citations
- E
Have properly installed electrical wiring and gas equipment.
K 511 · March 19, 2026 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · March 6, 2025 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · March 6, 2025 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · April 15, 2024 · 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 15, 2024 · Corrected (the home has a date of correction)