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
3D
1E
0F
Potential for minimal harm
0A
0B
0C
April 16, 2026Standard inspection · 0 citations
March 13, 2025Standard inspection · 2 citations
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to treat each resident with respect, dignity and care in a manner and an environment that enhances his or her quality of life by not announcing themselves before entering the room of (5) residents. (Resident (R) R9, R16, R17, R27, and R28).
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, review of facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidelines 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 one (1) of three (3) residents. Observation of wound care for Resident (R)54 revealed a failure to remove contaminated gloves prior to touching Resident's clothing, bedding, walker, table, and chair.
January 23, 2020Standard inspection · 2 citations
- 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, record review, and review of the facility policy it was determined the facility failed to ensure revision of a comprehensive care plan for one (1) of nineteen (19) sampled residents and failed to ensure the notification/invitation of a care plan meeting for one (1) of nineteen (19) sampled residents. The facility failed to notify/invite Resident #38 to the care plan meeting for [DATE] following the quarterly comprehensive assessment dated [DATE]. The comprehensive care plan for Resident #314 did not reveal a revision to the code status change from full code to the status of do not resuscitate (DNR), which occurred on [DATE].
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interview, record review, and facility policy review, the facility failed to ensure the environment for one (1) of nineteen (19) sampled residents (Resident #314) remained free of accident hazards. Resident #314 was assessed upon admission to be at risk for elopement. The facility failed to reassess the resident's risk for elopement quarterly according to facility policy.
Fire safety inspections
4 fire safety citations on file: 1 on April 16, 2026, 2 on March 13, 2025, 1 on January 23, 2020.
Every fire safety citation4 citations
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · April 16, 2026 · Corrected (the home has a date of correction)
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
K 916 · March 13, 2025 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · March 13, 2025 · Corrected (the home has a date of correction)
- D
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · January 23, 2020 · Corrected (the home has a date of correction)