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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
1F
Potential for minimal harm
0A
0B
0C
August 5, 2025Standard inspection · 2 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, the facility failed to store and label leftover foods and maintain kitchen sanitation for 68 of 68 residents served food prepared in the kitchen.
- 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 ensure timely treatment of an infection for 1 of 1 resident reviewed. (Resident 6)
September 4, 2024Standard inspection, Complaint inspection · 2 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure physician orders were obtained and followed regarding dressing changes for 1 of 7 residents reviewed (Resident 74).
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a nasogastric (ng) tube was trreated according to physician orders for 1 of 1 resident reviewed (Resident 24).
August 25, 2023Standard inspection · 3 citations
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure supervision of self-administration of medication for 1 of 6 residents reviewed. (Resident 18)
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure a resident catheter drainage bag did not touch the floor for 1 of 2 residents reviewed for catheter care. (Resident 82).
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure nutritional risk factors were assessed and intervened upon for 1 of 24 residents reviewed (Resident 6).
Fire safety inspections
23 fire safety citations on file: 2 on August 5, 2025, 15 on September 4, 2024, 6 on August 25, 2023.
Every fire safety citation23 citations
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · August 5, 2025 · Corrected (the home has a date of correction)
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · August 5, 2025 · no revisit needed
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · September 4, 2024 · Corrected (the home has a date of correction)
- F
Meet other general requirements that are deficient.
K 300 · September 4, 2024 · Corrected (the home has a date of correction)
- F
Install a fire alarm system that can be heard throughout the facility.
K 341 · September 4, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · September 4, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 4, 2024 · Corrected (the home has a date of correction)
- F
Have properly installed electrical wiring and gas equipment.
K 511 · September 4, 2024 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · September 4, 2024 · Waiver
- F
Have simulated fire drills held at unexpected times.
K 712 · September 4, 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 · September 4, 2024 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · September 4, 2024 · Corrected (the home has a date of correction)
- E
Install proper backup exit lighting.
K 281 · September 4, 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 · September 4, 2024 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · September 4, 2024 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · September 4, 2024 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · September 4, 2024 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · August 25, 2023 · Waiver
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · August 25, 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 · August 25, 2023 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · August 25, 2023 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · August 25, 2023 · Corrected (the home has a date of correction)
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · August 25, 2023 · Corrected (the home has a date of correction)