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
1D
1E
2F
Potential for minimal harm
0A
0B
0C
April 17, 2026Standard inspection · 0 citations
February 16, 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 observations, staff interviews, and review of the facility policy titled Food Preparation and Service, the facility failed to discard food by the expiration date, label and date leftovers, and store dishwasher crates off of the floor. These deficient practices had the potential to promote foodborne illnesses associated with bacterial growth and cross-contamination for 67 of 73 residents receiving an oral diet.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, record review, and review of the facility policies titled Cleaning and Disinfection of Resident-Care Items and Equipment, Personal Protective Equipment (PPE), and Administration of IV (intravenous) Medications, the facility failed to properly cover resident personal care items when not in use on two of four halls (Hall 200 and Hall 300) and ensure infection control processes were followed during medication administration for three of five residents (R) (R183, R187, and R188) observed for medication administration. The deficient practices had the potential to place R183, R187, and R188 at risk of avoidable spread of infections and had the potential to increase the risks for cross-contamination and spread of infection on two of four halls.
October 24, 2024Complaint inspection · 1 citation
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, record review, and review of the facility's policy titled Abuse Policy and Procedure, the facility failed to report an injury of unknown origin, specifically left acute distal tibial and fibular fractures, within the required time frame for one of three sampled residents (R) (R3).
October 20, 2022Standard 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 observation, interview, and facility policy review, the facility failed to ensure all hot food items were held above 135 degrees on the steam table to prevent food borne illness. The facility also failed to ensure that all expired foods were removed from the cooler located in the main kitchen as well as ensuring that all food was labeled and dated. This deficient practice had the potential to effect 79 of 88 resident that receive regular or mechanical soft textured diet.
Fire safety inspections
18 fire safety citations on file: 7 on April 17, 2026, 4 on February 16, 2025, 7 on October 20, 2022.
Every fire safety citation18 citations
- D
Establish policies and procedures for volunteers.
E 24 · April 17, 2026 · Corrected (the home has a date of correction)
- D
Establish roles under a Waiver declared by secretary.
E 26 · April 17, 2026 · Corrected (the home has a date of correction)
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · April 17, 2026 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 17, 2026 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · April 17, 2026 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · April 17, 2026 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · April 17, 2026 · Corrected (the home has a date of correction)
- D
Have an enclosure around a vertical opening shaft.
K 311 · February 16, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · February 16, 2025 · Corrected (the home has a date of correction)
- D
Have restrictions on the use of portable space heaters.
K 781 · February 16, 2025 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · February 16, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · October 20, 2022 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · October 20, 2022 · Corrected (the home has a date of correction)
- E
Have properly sized and located compartments to protect residents from smoke.
K 371 · October 20, 2022 · Corrected (the home has a date of correction)
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · October 20, 2022 · Corrected (the home has a date of correction)
- D
Install a fire alarm system that can be heard throughout the facility.
K 341 · October 20, 2022 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · October 20, 2022 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · October 20, 2022 · Corrected (the home has a date of correction)