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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
3E
0F
Potential for minimal harm
0A
0B
0C
July 30, 2026Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure a resident's aspiration precautions were maintained in order to prevent the possibility of choking during a meal for 1 (Resident #3) of 2 sampled residents observed for meal safety precautions.
June 17, 2026Standard inspection · 2 citations
- E
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 reviews, the facility failed to ensure: 1. Kitchen A was maintained in a clean and sanitary manner; 2. The sanitization of dishware and three-compartment sinks were monitored and recorded; and, 3. Food temperatures were monitored and accurately recorded for Kitchen A, Mini-Kitchen X, Mini-Kitchen Y, and Mini-Kitchen Z. This deficient practice was identified for 4 (Kitchen A, Mini-Kitchen X, Mini-Kitchen Y, Mini-Kitchen Z) of 4 kitchens observed for food safety requirements.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure staff performed hand hygiene while passing ice to residents for 1 (S3Certified Nursing Assistant [CNA]) of 1 CNAs observed passing ice to residents.
June 25, 2025Standard inspection · 3 citations
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure medications were administered timely for 1 (Resident #3) of 4 (Resident #3, Resident #13, Resident #45, Resident #51) sampled residents interviewed for medication administration.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a resident's pressure ulcer treatment plan was carried out in accordance with the resident's care plan and physician's orders for 1 (Resident #332) of 2 (Resident #87, Resident #332) sampled residents investigated for pressure ulcers.
- 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 and interviews, the facility failed to maintain a clean and sanitary environment for 1 (Hall B Mini Pantry) of 3 (Hall A Mini Pantry, Hall B Mini Pantry, Hall C Mini Pantry) of 3 Mini Pantries observed.
April 9, 2025Complaint inspection · 4 citations
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure a resident was treated with dignity when staff did not provide incontinence care to a resident as requested prior to meal service. This deficient practice was identified for 2 (Resident #3, Resident #4) of 4 (Resident #1, Resident #2, Resident #3, Resident #4) sampled residents reviewed for resident rights.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure only licensed personnel administered medications for 1 (Resident #3) of 4 (Resident #1, Resident #2, Resident #3, Resident #4) sampled residents reviewed for nursing services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, interviews and record reviews the facility failed to provide timely incontinence care for 2 (Resident #3, Resident #4) of 4 (Resident #1, Resident #2, Resident #3, Resident #4) sampled residents reviewed for incontinence.
- 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 observations, interviews, and record reviews, the facility failed to ensure medicated ointments and/or lotions were stored in a locked compartment and only accessible to authorized personnel for 2 random observations made 1 of 2 days while onsite.
February 19, 2025Complaint inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and record review the facility failed to ensure a staff member removed gloves and used proper hand hygiene when performing incontinent care for 1(Resident #R1) of 2 (Resident #R1, Resident #2 observed for incontinent care.
June 27, 2024Standard inspection · 3 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to: 1. Ensure food was not expired and stored in a sanitary manner. 2. Ensure a carton of nutritional supplement was stored per manufacturer's guidelines and was not available for consumption.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and interview the facility failed to ensure the Resident's right to formulate an advanced directive was properly reflected in the Resident's medical record for 1 (Resident #335) of 28 (Resident #5, Resident #15, Resident #20, Resident #27, Resident #32, Resident #35, Resident 37, Resident #40, Resident #41, Resident #46, Resident #49, Resident #58, Resident #59, Resident #63, Resident #82, Resident #83, Resident #88, Resident #89, Resident #93, Resident #94, Resident #95, Resident #102, Resident #103,Resident #104, Resident #205, Resident #255, Resident #355) sampled residents reviewed for advanced directives.
- D
Keep all essential equipment working safely.
Inspectors wroteBased on record reviews, observations and interviews, the facility failed to ensure a resident's percutaneous endoscopic gastrostomy (PEG) tube (a tube that goes directly into the stomach to receive nutrition) feeding pole was in safe operating condition for 1 (Resident #46) of 3 (Resident #15, Resident #37, and Resident #46) sampled residents reviewed for environment.
May 22, 2024Complaint inspection · 1 citation
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record reviews and interviews, the facility failed to maintain an accurate count of the disposition of controlled medications for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents reviewed for pharmaceutical services.
Fire safety inspections
11 fire safety citations on file: 3 on June 17, 2026, 1 on June 25, 2025, 7 on June 27, 2024.
Every fire safety citation11 citations
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · June 17, 2026 · Corrected (the home has a date of correction)
- D
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · June 17, 2026 · Corrected (the home has a date of correction)
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · June 17, 2026 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 25, 2025 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · June 27, 2024 · Corrected (the home has a date of correction)
- D
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · June 27, 2024 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · June 27, 2024 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · June 27, 2024 · Corrected (the home has a date of correction)
- D
Have simulated fire drills held at unexpected times.
K 712 · June 27, 2024 · Corrected (the home has a date of correction)
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · June 27, 2024 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 27, 2024 · Corrected (the home has a date of correction)