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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
2F
Potential for minimal harm
0A
0B
0C
June 26, 2025Standard inspection · 0 citations
March 7, 2024Standard inspection, Complaint inspection · 6 citations
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to maintain comfortable temperature levels, and a safe and home like environment for 1 of 1 facility reviewed for comfortable temperatures and homelike environment. This placed residents at risk for an uncomfortable and unhomelike environment.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse for 1 of 2 sampled residents (#'s 12 and 97) reviewed for resident-to-resident abuse. This placed residents at risk for abuse.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and record review the facility failed to provide the required written notice of a bed hold policy before or upon transfer to the hospital for 1 of 3 residents (#8) reviewed for hospitalization. This placed residents at risk to be uninformed of their rights.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to accurately assess 3 of 7 sampled residents (#s 6, 20 and 297) reviewed for unnecessary medications and accidents. This placed residents at risk for unassessed needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure dependent residents received required assistance with ADLs for 1 of 2 sampled residents (#14) reviewed for ADLs. This placed residents at risk for unmet ADL needs and loss of dignity.
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an ongoing person-centered activities program for 1 of 3 sampled residents (#9) reviewed for activities. This placed residents at risk of a decline in psychosocial well-being and diminished quality of life.
December 5, 2022Standard inspection · 5 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 it was determined the facility failed to prepare and handle food in a sanitary manner in 1 of 1 kitchen reviewed for food service. This placed residents at risk for foodborne illness.
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to develop and follow practices to sanitarily transport, store and handle laundry for 1 of 1 laundry cart and 1 of 1 laundry room reviewed for infection control. This placed residents at risk for receiving contaminated laundry and infection.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to update a care plan to reflect changes in care needs for 2 of 3 sampled residents (#s 24 and 40) reviewed for ADLs. This placed residents at risk for unmet needs.
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an ongoing activities program designed to meet the individual interests and needs of residents for 1 of 4 sampled residents (#29) reviewed for activities. This placed residents at risk for diminished physical, emotional and psychosocial well-being.
- D
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide timely laboratory services for 1 of 5 sampled residents (#24) reviewed for unnecessary medications. This placed resident at risk for delayed treatment.
Fire safety inspections
8 fire safety citations on file: 2 on June 26, 2025, 5 on March 7, 2024, 1 on December 5, 2022.
Every fire safety citation8 citations
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 26, 2025 · Corrected (the home has a date of correction)
- D
Install proper backup exit lighting.
K 281 · June 26, 2025 · Corrected (the home has a date of correction)
- F
Develop Emergency Preparedness policies and procedures.
E 13 · March 7, 2024 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · March 7, 2024 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 7, 2024 · Corrected (the home has a date of correction)
- D
Meet requirements for the installation and maintenance of electrical systems.
K 911 · March 7, 2024 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · March 7, 2024 · Corrected (the home has a date of correction)
- F
Install a fire alarm system that can be heard throughout the facility.
K 341 · December 5, 2022 · Corrected (the home has a date of correction)