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 8 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
2E
0F
Potential for minimal harm
0A
0B
0C
February 13, 2026Standard inspection · 3 citations
- E
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents were afforded privacy during medical assessments and personal care for 5 of 5 residents reviewed for privacy (Residents 3, 8, 28, 65, and 25).
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident with dementia (Resident 37) received person-centered care and services to honor Resident 37's expressed preference to leave the dining room table for 1 of 3 residents reviewed for dementia care.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interview and record review, the facility failed to ensure staff performed appropriate hand hygiene and used infection control practices between resident contact and during resident assessments. This deficient practice had the potential to affect 3 of 3 residents randomly observed, (Residents 28, 3 and 65).
December 19, 2024Standard inspection · 0 citations
November 3, 2023Standard inspection · 5 citations
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure sufficient staff were available to answer and address the root cause needs/requests of residents without having to wait for long periods of time for 4 of 5 residents reviewed for call light response times (Residents 38, 18, 13 and 1).
- 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 ensure a resident, (Resident 18) who required the use of a posture support harness/mobility device received routine and ongoing assessments and monitoring of the device to prevent the potential for accidents for 1 of 2 residents reviewed for positioning.
- 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 resident's enteral tube feeding formulas and water containers were labeled according to policy for 1 of 1 resident reviewed for tube feeding (Resident 19).
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident was not accidently given the wrong medication to prevent the potential for a significant medication error for 1 of 4 residents reviewed for accidents, (Resident 8).
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interview, the facility failed to date medications and destroy expired medications for 3 residents in 2 of 5 resident houses (Residents 44, 54, and 22).
Fire safety inspections
4 fire safety citations on file: 2 on February 13, 2026, 1 on December 19, 2024, 1 on November 3, 2023.
Every fire safety citation4 citations
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · February 13, 2026 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · February 13, 2026 · Corrected (the home has a date of correction)
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
K 927 · December 19, 2024 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · November 3, 2023 · Corrected (the home has a date of correction)