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
4D
0E
0F
Potential for minimal harm
0A
0B
0C
June 12, 2026Standard inspection · 0 citations
May 23, 2025Standard inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 18 sampled residents, (Resident (R)79).
February 7, 2020Standard inspection · 3 citations
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to implement the Comprehensive Care Plan for one (1) of two (2) sampled residents (Residents #49). Resident #49 was care planned to administer Oxygen (O2) at four (4) liters per nasal cannula (N/C); however, observations revealed the O2 was being administered at three (3) liters per N/C. The findings Include: Review of facility policy titled, Comprehensive Care Plan, last revised 01/02/2020, revealed it is the purpose of this form to document how each residents' daily needs are provided by the nursing staff in accordance with the guidelines of the RAI process and in keeping with the Medicare/Medicaid requirements. Residents receive care and treatment based on an assessment of their needs, the severity of their diagnosis or disease, condition, impairment of disability. [...]
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure two (2) of twenty-two (22) sampled residents received respiratory care that was consistent with professional standards of practice, and the comprehensive person-centered care plan ( Residents #60 and #49). Resident #49 and #60 were physician ordered and care planned to receive Oxygen (O2) at three (3) and two (2) liters respectively, per nasal cannula (N/C). However, observations revealed Resident #49 was receiving O2 at four (4) liters per N/C and Resident #60 was found not to be wearing wearing his/her O2. In addition, the nurse failed to obtain the Resident's 60's O2 sat, even though the resident was stating he/she could not breath.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review and facility policy review, it was determined the facility failed maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (1) of twenty-two (22) sampled residents (Resident #60). The Certified Nurse Aide (CNA) failed to wash his/her hands during pericare and handle linen properly to prevent the spread of infection.
Fire safety inspections
18 fire safety citations on file: 7 on June 12, 2026, 8 on May 23, 2025, 3 on February 7, 2020.
Every fire safety citation18 citations
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · June 12, 2026 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 12, 2026 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · June 12, 2026 · Corrected (the home has a date of correction)
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
K 325 · June 12, 2026 · 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 · June 12, 2026 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · June 12, 2026 · Corrected (the home has a date of correction)
- D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
K 361 · June 12, 2026 · Corrected (the home has a date of correction)
- F
Have properly installed hallway dispensers for alcohol-based hand rub.
K 325 · May 23, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 23, 2025 · Corrected (the home has a date of correction)
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · May 23, 2025 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · May 23, 2025 · Corrected (the home has a date of correction)
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K 914 · May 23, 2025 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · May 23, 2025 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · May 23, 2025 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · May 23, 2025 · Corrected (the home has a date of correction)
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · February 7, 2020 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · February 7, 2020 · Corrected (the home has a date of correction)
- D
Meet requirements for the use and maintenance of medical gas equipment.
K 922 · February 7, 2020 · Corrected (the home has a date of correction)