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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
0F
Potential for minimal harm
0A
0B
0C
January 29, 2026Complaint inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure enhanced barrier precautions (EBP) were followed during transfers and perineal care for 1 of 3 residents reviewed for transfers (Resident B).
August 2, 2024Standard inspection · 1 citation
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview and record review, the facility failed to provide the resident group the opportunity to select a resident representative to serve as the Resident Council President for 10 of 10 residents interviewed in a group setting.
June 19, 2023Standard inspection · 0 citations
May 23, 2022Standard inspection · 4 citations
- 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 interview and record review, the facility failed to clarify a resident's end of life wishes for 1 of 3 residents reviewed for Advanced Directives. (Resident 4)
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to ensure timely completion of a required Level I Preadmission Screening and Resident Review (PASARR) assessment for 1 of 2 residents reviewed for PASARR. (Resident 21)
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide ongoing activity programs to meet individual resident needs for 2 of 2 physically dependant, cognitively impaired residents reviewed for individualized activities. (Residents 51 and 55) Findings Include: 1. During an interview on 5/16/22 at 1:30 p.m., Resident 51's family member indicated the resident required assistance from staff to get out of bed and move about in her specialized wheelchair. The family member indicated he would like the resident to leave her room and move about the building a little bit. Resident 51 was observed in her room during the following observations: a. On 5/16/22 at 11:46 a.m., the resident was in bed with the TV on. She was not looking at the television. b. On 5/17/22 at 9:50 a.m., the resident was in bed. The TV was on. Her eyes were closed. c. [...]
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident with a diagnoses of dementia, who was displaying symptoms of emotional distress, was offered services to reduce dementia symptoms and despair for 1 of 5 resident reviewed for dementia care. (Resident 49)
Fire safety inspections
25 fire safety citations on file: 1 on January 22, 2025, 8 on August 2, 2024, 6 on June 19, 2023, 10 on May 23, 2022.
Every fire safety citation25 citations
- E
Have horizontal exits used in accordance with safety requirements.
K 226 · January 22, 2025 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · August 2, 2024 · Corrected (the home has a date of correction)
- E
Have horizontal exits used in accordance with safety requirements.
K 226 · August 2, 2024 · Waiver
- 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 · August 2, 2024 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · August 2, 2024 · Corrected (the home has a date of correction)
- E
Have restrictions on the use of portable space heaters.
K 781 · August 2, 2024 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · August 2, 2024 · Corrected (the home has a date of correction)
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
K 927 · August 2, 2024 · Corrected (the home has a date of correction)
- C
Have simulated fire drills held at unexpected times.
K 712 · August 2, 2024 · Corrected (the home has a date of correction)
- F
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 · June 19, 2023 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · June 19, 2023 · Corrected (the home has a date of correction)
- E
Have horizontal exits used in accordance with safety requirements.
K 226 · June 19, 2023 · Corrected (the home has a date of correction)
- E
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · June 19, 2023 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · June 19, 2023 · Corrected (the home has a date of correction)
- C
Conduct risk assessment and an All-Hazards approach.
E 6 · June 19, 2023 · 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 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · May 23, 2022 · 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 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
K 361 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Have properly installed electrical wiring and gas equipment.
K 511 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Have an externally vented heating system.
K 522 · May 23, 2022 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · May 23, 2022 · Corrected (the home has a date of correction)