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 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
4E
1F
Potential for minimal harm
0A
0B
0C
July 21, 2026Standard inspection, Complaint inspection · 4 citations
- E
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 interview, the facility failed to maintain a safe and sanitary environment throughout the laundry room. This had the potential to affect all resident laundry processed within that department. The facility census was 62.
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to ensure call lights were within reach and accessible for Resident #2. This affected one (Resident #2) of 18 sampled residents reviewed for call light accessibility. The facility census was 62.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure meals were attractive and served at an appetizing temperature. This affected one (Resident #38) resident of four residents reviewed for food. The facility census was 62.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to maintain proper infection prevention and control practices during urinary catheter care for Resident #45. This affected one (Resident #45) of five residents reviewed for infection prevention and control practices. The facility census was 62.
December 30, 2024Complaint inspection · 1 citation
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on closed record review, facility policy review, and interview, the facility failed to ensure accurate documentation of skin tear treatments were completed for Resident #51. This affected one (Resident #51) of three residents review for wound treatments. The facility census was 50.
March 13, 2024Standard inspection · 5 citations
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a clean and sanitary kitchen area. This had the potential to affect all residents receiving meals from the kitchen. The facility identified two Residents(#6 and #33) who do not receive food by mouth. The facility census was 56.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interview the facility failed to complete a state specific Pre-admission Screen and Resident Review (PASRR) form within thirty days of admission as required. This affected one (Resident #61) of two residents (Residents #41 and #61) reviewed for PASRR. The facility census was 56.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, medical record and facility policy review, the facility failed to ensure preventative interventions were in place for treatment of pressure injury of left heel. This affected one Resident (#39) of three reviewed for pressure injuries. The facility census was 56.
- 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 record review and interview the facility failed to provide an appropriate diagnosis for the use of an antipsychotic. This affected one resident (Resident #45) out of five residents (#18, #39, #45, #50, and #271) reviewed for unnecessary medications. The facility census was 56.
- D
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Inspectors wroteBased on review of the medical record, interviews, and review of information from the Medscape website, the facility failed to ensure laboratory tests were completed as ordered for Resident #271 and Resident #64. This affected two residents (Resident #271 and Resident #64) of 21 residents whose medical records were reviewed for laboratory test results.
February 21, 2024Complaint inspection · 1 citation
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the accuracy of Resident #18's wound type in the medical record. This finding affected one (Resident #18) of four residents reviewed for pressure ulcers.
November 16, 2023Complaint inspection · 1 citation
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on closed record review, review of court records, review of facility policy and interviews, the facility failed to timely release requested resident records for Resident #49. This affected one resident (#49) of three reviewed for timely release of medical records. The facility census was 50.
February 17, 2022Standard inspection · 7 citations
- 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 interview, the facility failed to ensure a well-maintained and homelike environment. This affected four residents (Resident's #8, #9, #33 and #37) of 42 residents observed during the annual survey. The facility census was 42 residents.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview, taste test, and Diet and Nutrition Manual review the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This affected five residents (Resident's #5, #10, #23, #24 and #40) who were prescribed a pureed diet of 42 residents who consumed meals from the facility's kitchen. The facility census was 42.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the resident record contained current and accurate information. This affected three (Resident's #13, #37 and #348) of three residents reviewed for accurate medical records. The facility census was 42.
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, record review, staff interview, and policy review the facility failed to ensure functioning call lights were placed within reach of residents. This affected three (Resident's #10, #31 and #38) of three residents reviewed for call light function. The facility census was 42.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview, the facility failed to accurately code the Minimum Data Set (MDS) 3.0 assessments for two (Resident's #30 and #31) of twenty-one residents reviewed for assessments. The facility census was 42.
- 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 implement interventions to prevent falls for one resident (Resident #10) of one resident reviewed for falls. The facility census was 42.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, record review, staff interview, and policy review the facility failed to ensure it had functional call lights in place. This affected one (Resident #38) of one resident reviewed for call light functioning. The facility census was 42.
Fire safety inspections
29 fire safety citations on file: 6 on July 21, 2026, 6 on March 13, 2024, 17 on February 17, 2022.
Every fire safety citation29 citations
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · July 21, 2026 · deficient, provider has
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · July 21, 2026 · deficient, provider has
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · July 21, 2026 · deficient, provider has
- E
Meet other general requirements that are deficient.
K 500 · July 21, 2026 · deficient, provider has
- E
Have properly installed electrical wiring and gas equipment.
K 511 · July 21, 2026 · deficient, provider has
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
K 927 · July 21, 2026 · deficient, provider has
- F
Have an enclosure around a vertical opening shaft.
K 311 · March 13, 2024 · Corrected (the home has a date of correction)
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · March 13, 2024 · 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 13, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 13, 2024 · Corrected (the home has a date of correction)
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · March 13, 2024 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · March 13, 2024 · Corrected (the home has a date of correction)
- F
Use approved construction type or materials.
K 161 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Meet other general requirements that are deficient.
K 300 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Provide properly protected cooking facilities.
K 324 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Install corridor and hallway doors that block smoke.
K 363 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Have properly installed electrical wiring and gas equipment.
K 511 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · February 17, 2022 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · February 17, 2022 · Corrected (the home has a date of correction)
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K 914 · February 17, 2022 · 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 17, 2022 · Corrected (the home has a date of correction)
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · February 17, 2022 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · February 17, 2022 · Corrected (the home has a date of correction)
- E
Meet requirements for the installation and maintenance of electrical systems.
K 911 · February 17, 2022 · Corrected (the home has a date of correction)
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
K 926 · February 17, 2022 · Corrected (the home has a date of correction)