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 4 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
1F
Potential for minimal harm
0A
0B
0C
September 18, 2025Standard inspection · 2 citations
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review and review of facility documentation it was determined that the facility failed to ensure that staff provided adequate supervision and assistance in order to prevent repeated falls for one of four sampled residents who were at risk for falls. (Resident 42)
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for one of 13 sampled residents. (Resident 1)
October 31, 2024Standard inspection · 1 citation
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, staff interview, and observation, it was determined that the facility failed to properly store food and maintain sanitary conditions in the main kitchen and in the rehabilitation unit kitchen.
November 8, 2023Standard inspection · 1 citation
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review and observation, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity to one of 13 sampled residents. (Resident 10)
Fire safety inspections
23 fire safety citations on file: 13 on September 18, 2025, 4 on October 31, 2024, 6 on November 8, 2023.
Every fire safety citation23 citations
- F
Conduct risk assessment and an All-Hazards approach.
E 6 · September 18, 2025 · Corrected (the home has a date of correction)
- F
Develop Emergency Preparedness policies and procedures.
E 13 · September 18, 2025 · Corrected (the home has a date of correction)
- F
Establish emergency prep training and testing.
E 36 · September 18, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 18, 2025 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · September 18, 2025 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · September 18, 2025 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · September 18, 2025 · Corrected (the home has a date of correction)
- C
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · September 18, 2025 · Corrected (the home has a date of correction)
- C
Include a process for Emergency Preparedness collaboration.
E 9 · September 18, 2025 · Corrected (the home has a date of correction)
- C
Establish policies and procedures for volunteers.
E 24 · September 18, 2025 · Corrected (the home has a date of correction)
- C
Create arrangements with other facilities to receive patients.
E 25 · September 18, 2025 · Corrected (the home has a date of correction)
- C
Establish staff and initial training requirements.
E 37 · September 18, 2025 · Corrected (the home has a date of correction)
- C
Conduct testing and exercise requirements.
E 39 · September 18, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · October 31, 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 · October 31, 2024 · Corrected (the home has a date of correction)
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K 914 · October 31, 2024 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · October 31, 2024 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · November 8, 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 · November 8, 2023 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · November 8, 2023 · Corrected (the home has a date of correction)
- C
Meet other general requirements.
K 100 · November 8, 2023 · Corrected (the home has a date of correction)
- C
Install proper backup exit lighting.
K 281 · November 8, 2023 · Corrected (the home has a date of correction)
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · November 8, 2023 · Corrected (the home has a date of correction)