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 11 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
2E
1F
Potential for minimal harm
0A
0B
0C
April 8, 2026Standard inspection · 2 citations
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a process for visitors, staff, and residents to submit concerns and grievances anonymously potentially affecting 73 total residents. An observation on 4/7/26 at 2:00PM throughout the facility revealed there was not a concern or grievance form available outside of asking for one at the nurse's station and no box or location could be found to drop a grievance anonymously. In an interview on 4/7/26 at 2:50 PM Director of Social Services (DSS) C reported that grievances are not completed for residents unless a resident asks for one. DSS C reported that the facility did not have grievance forms outside of the nurse's station and if a person wanted one, they had to ask for it. [...]
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to assess a skin concern identified upon admission for 1 resident (R4) of 6 residents reviewed for skin and pressure ulcer concerns.
February 24, 2026Complaint inspection · 3 citations
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteThis citation pertains to intake 2729237. Based on interview and record review, the facility failed to follow policies and procedures to report injuries of unknown origin for one (R2) of 4 residents reviewed for injuries.
- D
Respond appropriately to all alleged violations.
Inspectors wroteThis citation pertains to intake 2729237. Based on interview and record review, the facility failed to follow policies and procedures to thoroughly investigate injuries of unknown for one (R2) of 4 residents reviewed for injuries of unknown origin.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intake 2729237. Based on interview and record review, the facility failed to follow policies and procedures and implement meaningful care plan interventions to prevent falls for one (R2) of 4 residents reviewed for falls.
February 13, 2025Standard inspection · 4 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, failed to ensure 1) equipment was being maintained, 2) required information/reminders are being provided at hand sinks 3) maintain physical facilities in sanitary conditions and in good repair potentially effecting 69 residents that receive food/water from the facility.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to follow professional standards of nursing practice for medication administration for 4 of 18 residents (Resident #29, #40, #42, and #49), reviewed for the provision of nursing services, resulting in lack of vital sign assessments prior to medication administration and medications administered outside of physician ordered parameters.
- 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 interview and record review, the facility failed to update a care plan to reflect current treatment for 1 resident (R13) of 18 residents reviewed for accuracy of care plans.
- D
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 observation, interview, and record review, the facility failed to follow standards of practice for medication storage and labeling.
January 24, 2024Standard inspection · 2 citations
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to follow professional standards of nursing practice for medication administration for 1 of 18 residents (Resident #4), reviewed for the provision of nursing services, resulting in medications being administered outside of the physician ordered parameters.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to provide complete and comprehensive assessments and notify the provider and guardian of a resident's reported seizure activity 1 of 18 residents (Resident #7) reviewed for quality of care.
Fire safety inspections
9 fire safety citations on file: 4 on April 8, 2026, 2 on February 13, 2025, 3 on January 24, 2024.
Every fire safety citation9 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 8, 2026 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · April 8, 2026 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · April 8, 2026 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · April 8, 2026 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · February 13, 2025 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · February 13, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 24, 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 · January 24, 2024 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · January 24, 2024 · Corrected (the home has a date of correction)