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
March 13, 2026Standard inspection · 4 citations
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, interview, and record review, the facility failed to store and label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 5 residents (Resident #14) reviewed for medication storage and labeling. RN A failed to remove Resident #14's expired insulin from the nursing cart. This failure could place residents at risk of receiving expired and ineffective medications.
- D
Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 7% based on 2 out of 26 opportunities, which involved 1 of 5 residents (Resident #44) and 1 of 3 staff (LVN A) observed during medication administration reviewed for medication error. LVN A failed to ensure Resident #44's medications were crushed individually and within professional standards. LVN A failed to ensure Resident #44's Levaquin (antibiotic) and Ferrous Sulfate (Iron) were not crushed and mixed together. LVN A failed to ensure Resident #44's Levaquin (antibiotic) and Ferrous Sulfate (Iron) were not given at the same time. [...]
- D
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 record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement. The facility failed to ensure foods were covered and sealed appropriately. These failures could place residents at risk of food borne illness and disease.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure rooms were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 1 of 6 residents (Resident #5) reviewed for call systems. The facility failed to install a functioning call light system for Resident #5's room located on the 1500 hall. This failure could place residents at risk for a delay in care and services, increased falls, excessive wait times, pain, and a decreased quality of life.
December 18, 2024Standard inspection · 0 citations
November 9, 2023Standard inspection · 1 citation
- 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 observation, interview and record review the facility failed to review and revise the person-centered care plan to reflect the current condition for 1 resident (Resident #30) of 18 residents reviewed for care plan accuracy. The facility failed to ensure Resident #30's care plan was updated to reflect her current feeding status of puree diet. This failure could place residents at risk of not receiving appropriate interventions to meet their current needs.
Fire safety inspections
5 fire safety citations on file: 2 on March 13, 2026, 3 on November 9, 2023.
Every fire safety citation5 citations
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · March 13, 2026 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · March 13, 2026 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 9, 2023 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · November 9, 2023 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · November 9, 2023 · Corrected (the home has a date of correction)