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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
4D
2E
1F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard inspection · 0 citations
May 15, 2025Standard inspection · 2 citations
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on review of the facility policy, observations, and interviews, the facility failed to ensure that medications were properly stored in 3 of 3 medication rooms.
- D
The resident has the right to receive notices in a format and a language he or she understands.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were informed of their right to have access to names, addresses and telephone numbers of all pertinent state regulatory and informational agencies, resident advocacy groups and information on filing a complaint and or reporting alleged abuse violations. The facility further failed to ensure residents knew where the above information was located within the facility as revealed by 10 of 10 residents during 1 of 1 resident council meeting.
March 29, 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 observations, staff interviews, record review, and facility policy review, the facility failed to ensure the kitchen was properly cleaned, food was properly handled, and the dish machine was working in accordance with professional standards for food service safety as required for 121 census residents who received meals from the facility kitchen. These failures had the potential to lead to food-borne illness among all facility residents.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure effective hand hygiene during wound care and there was a way to restrict air flow between the dirty laundry and clean laundry area. This had the potential to cause wound infection and exposure to viruses and bacteria to any of the 121 residents in the facility.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure the Minimum Data Set (MDS) assessments captured: hemodialysis treatments for Resident (R)17; pain requiring interventions daily for R29; and anticoagulant therapy for R113 to appropriately meet the resident's specialized care needs in the facility. This failure affected three residents (R17, R29, and R113) of 33 sampled residents reviewed for MDS assessment accuracy.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide a splint device for contracture per plan of care for one of three residents (Resident (R) 112) reviewed for positioning/mobility of 33 sampled residents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure dialysis related medications were provided for one of two residents (Resident (R) 71) reviewed for dialysis of 33 sampled residents.
November 9, 2023Complaint inspection · 1 citation
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to maintain resident safety from harm for 1 of 1 resident. Specifically, while bathing Resident (R)1 on 09/01/23, Certified Nursing Assistant (CNA)1 grabbed the bed linen/sheet and attempted to move/reposition R1 resulting in R1 falling to the floor and suffering injuries. On 11/09/23 the facility presented a Time Line of events. The survey team's investigation revealed the facility implemented interventions to address the noncompliance, indicating past noncompliance as of 09/02/23.
Fire safety inspections
7 fire safety citations on file: 1 on July 9, 2026, 2 on May 15, 2025, 4 on March 29, 2024.
Every fire safety citation7 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · July 9, 2026 · Corrected (the home has a date of correction)
- D
Address subsistence needs for staff and patients.
E 15 · May 15, 2025 · Corrected (the home has a date of correction)
- D
Have simulated fire drills held at unexpected times.
K 712 · May 15, 2025 · Corrected (the home has a date of correction)
- D
Address subsistence needs for staff and patients.
E 15 · March 29, 2024 · Corrected (the home has a date of correction)
- D
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · March 29, 2024 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 29, 2024 · Corrected (the home has a date of correction)
- D
Have simulated fire drills held at unexpected times.
K 712 · March 29, 2024 · Corrected (the home has a date of correction)