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
0G
0H
0I
Potential for more than minimal harm
3D
2E
0F
Potential for minimal harm
0A
0B
0C
July 9, 2025Standard inspection · 0 citations
August 8, 2024Standard inspection · 3 citations
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observation, interview and review of the Quality Assurance Plan, the facility failed to establish written policies for resident care regarding the Comfort Care/End of Life program, or fall prevention/safe transfer techniques. The facility reported a census of 36 residents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to provide safe transfer techniques for 2 of 2 residents reviewed. Staff failed to use a gait belt when transferring Resident #6 from the whirlpool chair to the wheel chair. The resident became weak and fell to the floor. In an observation, Resident #21 was transferred from the wheel chair to the whirlpool chair without the use of a gait belt. The facility reported a census of 36 residents.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that residents were free from unnecessary medication for 1 of 6 reviewed. Resident #23 had an as needed (PRN) order for morphine dated October of 2022. The indications for use included; shortness of breath, comfort, end of life and restlessness. On 2/20/24, staff used the medication when Resident #23 had neck pain. The facility reported a census of 36 residents.
November 16, 2023Standard 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, staff interviews, and a professional dietician interview the facility failed to ensure food was prepared under sanitary conditions and failed to prevent cross contamination of food. The facility identified a census of 44 residents.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of the planned menu, observation, and staff interviews the facility failed to serve the proper amount of pureed foods to residents that required a pureed diet. The facility identified a census of 44 residents.
Fire safety inspections
15 fire safety citations on file: 3 on July 9, 2025, 9 on August 8, 2024, 3 on November 16, 2023.
Every fire safety citation15 citations
- F
Conduct testing and exercise requirements.
E 39 · July 9, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · July 9, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · July 9, 2025 · Corrected (the home has a date of correction)
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K 232 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Install proper backup exit lighting.
K 281 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Provide a written emergency evacuation plan.
K 711 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · August 8, 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 · August 8, 2024 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Provide properly protected cooking facilities.
K 324 · November 16, 2023 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 16, 2023 · 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 16, 2023 · Corrected (the home has a date of correction)