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
1G
0H
0I
Potential for more than minimal harm
3D
1E
0F
Potential for minimal harm
0A
0B
0C
July 15, 2026Standard inspection, Complaint inspection · 4 citations
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on record review, policy review and staff interviews, the facility failed to offer the COVID-19 (Coronavirus disease) vaccine for 5 of 5 residents reviewed (Residents #3, #21, #29, #39, and #45). The facility reported a census of 43 residents.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review, staff interviews and the Resident Assessment Instrument (RAI) manual the facility failed to complete the quarterly Minimum Data Set (MDS) assessment in the required timeframe for 1 of 1 residents reviewed (Resident #34). The facility reported a census of 43 residents.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, policy review and staff interview, the facility failed to identify a weight loss resulting in a failure to offer nutritional interventions, notify the Physician, Dietitian, or their family related to weight loss and poor intakes at meals for 1 of 1 resident reviewed (Resident #11). The facility reported a census of 43 residents.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews and policy review, the facility failed to prevent cross-contamination during peri cares for 1 of 1 residents reviewed (Resident #2). The facility reported a census of 43 residents.
February 5, 2026Complaint 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 record review, staff interviews, facility investigation, and policy review, the facility failed to follow the transfer technique to safely transfer a resident for 1 of 3 residents reviewed (Resident #1). On 12/10/25, Resident #1 complained of severe pain with the inability to move her ankle free in all movements. Resident #1 reported that she got her legs tangled when she got transferred. In reviewing Resident #1's clinical record her Kardex (a pocket Care Plan) instructed the staff to transfer her with the assistance of 2 staff and a full-body mechanical lift. The staff interviews determined the staff transferred Resident #1 at times without the full-body mechanical lift. The physician documented Resident #1 received her ankle fracture during a transfer. The facility reported a census of 43 residents.
May 29, 2025Standard inspection · 0 citations
July 25, 2024Standard inspection · 0 citations
Fire safety inspections
7 fire safety citations on file: 3 on July 15, 2026, 2 on May 29, 2025, 2 on July 25, 2024.
Every fire safety citation7 citations
- F
Conduct testing and exercise requirements.
E 39 · July 15, 2026 · Corrected (the home has a date of correction)
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
K 325 · July 15, 2026 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of highly flammable decorations.
K 753 · July 15, 2026 · Corrected (the home has a date of correction)
- F
Develop Emergency Preparedness policies and procedures.
E 13 · May 29, 2025 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · May 29, 2025 · Corrected (the home has a date of correction)
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · July 25, 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 · July 25, 2024 · Corrected (the home has a date of correction)