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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
2E
0F
Potential for minimal harm
0A
0B
0C
January 21, 2026Complaint inspection · 1 citation
- E
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, the facility failed to ensure water temperatures were maintained to ensure kitchen sanitation. 45 of 47 residents residing in the facility ate food prepared in the kitchen.
September 10, 2025Standard inspection · 0 citations
May 22, 2025Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to ensure fall interventions were followed for 1 of 4 residents reviewed (Resident B).
March 24, 2025Complaint inspection · 2 citations
- D
Honor each resident's preferences, choices, values and beliefs.
Inspectors wroteBased on interview and record review the facility failed to ensure 1 of 3 residents reviewed were free from condescending remarks. (Resident C)
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review the facility failed to ensure wound care was provided to 1 of 3 residents reviewed. (Resident D)
November 7, 2024Standard inspection · 4 citations
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review the facility failed to report elopement in a timely manner for 1 of 1 residents reviewed. (Resident 199)
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to ensure non-pharmacological interventions were attempted before administering (PRN) as needed pain medication for 1 of 2 residents reviewed ( Resident 5).
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review the facility failed to ensure communication with dialysis center for 1 of 2 patients reviewed. (Resident 30)
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on observation, interview, and record review the facility failed to manage behaviors for 1 of 8 residents reviewed. (Resident 40).
July 23, 2024Complaint inspection · 3 citations
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview and record review, the facility failed to protect a resident's right to be free from physical abuse by staff for 1 of 3 residents reviewed (Resident Q). The deficient practice was corrected on 7/11/24 prior to the start of the survey and was therefore past non-compliance.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to report timely, physical abuse of 1 of 3 residents reviewed for abuse reporting (Resident Q). The deficient practice was corrected on 7/11/24 prior to the start of the survey and was therefore past non-compliance.
- D
Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview and record review, the facility failed to ensure triggers were identified and resident specific approaches implemented in providing trauma informed care for 1 of 1 residents reviewed (Resident Q).
January 5, 2024Complaint inspection · 2 citations
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to ensure a fall assessment was completed after a witnessed fall for 1 of 3 residents reviewed (Resident C).
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review the facility failed to ensure meal consumption percentages were documented for 3 of 3 residents reviewed (Resident D, Resident E, Resident F) and monthly weights were documented for 2 of 3 residents reviewed (Resident D, Resident E).
December 11, 2023Standard inspection · 3 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, record review, and interview the facility failed to schedule staff adequately to prevent intrusive behavior affecting 7 of 22 residents reviewed. (Resident 147, Resident 6, Resident 31, Resident 2, Resident 21, Resident 42, and Resident 3).
- D
Post nurse staffing information every day.
Inspectors wroteBased on observation, and interview, the facility failed to ensure the daily report of nursing staff directly responsible for resident care was accurately posted during 2of 3 observations.
- D
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Inspectors wroteBased on observation, interview, and record review the facility failed to implement person centered interventions to prevent intrusive behaviors for 1 of 7 residents reviewed.
Fire safety inspections
15 fire safety citations on file: 5 on September 10, 2025, 3 on November 7, 2024, 7 on December 11, 2023.
Every fire safety citation15 citations
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · September 10, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · September 10, 2025 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · September 10, 2025 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · September 10, 2025 · Corrected (the home has a date of correction)
- E
Have an externally vented heating system.
K 522 · September 10, 2025 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · November 7, 2024 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · November 7, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 7, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 11, 2023 · Corrected (the home has a date of correction)
- E
Have horizontal exits used in accordance with safety requirements.
K 226 · December 11, 2023 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · December 11, 2023 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · December 11, 2023 · Corrected (the home has a date of correction)
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
K 927 · December 11, 2023 · Corrected (the home has a date of correction)
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K 346 · December 11, 2023 · Corrected (the home has a date of correction)
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K 354 · December 11, 2023 · Corrected (the home has a date of correction)