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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
3E
0F
Potential for minimal harm
0A
0B
0C
May 19, 2026Standard inspection · 3 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to maintain a clean and sanitary environment when small brown particles were found on top of the deep fryer and fryer basket, an oil like substance was observed dripping from the fryer onto the floor, a dark brown, gummy liquid was observed on the floor beside the deep fryer, loose particles and dried substances were found on the lids and down the sides of sugar, flour and meal storage containers and on metal storage racks, a dried, black substance covered the stove's cooking surface, the tabletop mini grill was covered with a dried, brown substance and loose particles and when a black substance was observed between the attached clear plastic barrier and the handwashing sink. The facility had a census of 88 with 85 residents receiving a tray from the kitchen.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to reimburse funds within 30 days to 1 of 1 (Resident #107) sampled residents reviewed for personal fund accounts.
- 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 facility policy review, facility competency review, medical record review, observation, and interview, the facility failed to ensure a resident with a percutaneous endoscopic gastrostomy (peg) tube (a feeding tube inserted through the abdominal wall directly into the stomach to deliver nutrition, fluids, or medications) received appropriate care and services to prevent complications for 1 of 1 (Resident #13) sampled residents reviewed for peg tube.
November 20, 2024Standard inspection, Complaint inspection · 3 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored properly when unlabeled and expired items were found in 1 of 2 (100/200 Hall) nourishment refrigerators and opened and undated items were found in 1 of 2 (walk in refrigerator) kitchen refrigerators.
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when 1 of 1 staff Licensed Practical Nurse (LPN) C failed to perform hand hygiene after tracheostomy (trach) care and failed to clean reusable equipment after a treatment for 1 of 1 resident (Resident #6) reviewed for trach care.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to notify the responsible party of a change of condition and new physician orders for 1 of 4 (Resident # 109) sampled residents reviewed.
September 22, 2022Standard inspection · 4 citations
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual v 1.17, October 2019, medical record review, and interview, the facility failed to accurately assess residents for nutrition and falls for 2 of 22 sampled residents (Resident #62 and #74) reviewed for accuracy of MDS assessments.
- 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 policy review, medical record review, and interview, the facility failed to provide Care Plan interventions for an anticoagulant medication and failed to develop a comprehensive Care Plan for nutrition for 2 of 22 sampled residents (Resident #53 and #74) reviewed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure a resident's skin condition was accurately assessed, a physician's order for treatment was obtained, and treatments were documented as provided for 1 of 2 sampled residents (Resident #87) reviewed with pressure ulcers.
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to follow its policy for weighing residents for 1 of 7 sampled residents (Resident #74) reviewed for nutritional status.
Fire safety inspections
3 fire safety citations on file: 1 on May 19, 2026, 2 on November 20, 2024.
Every fire safety citation3 citations
- D
Have restrictions on the use of portable space heaters.
K 781 · May 19, 2026 · Corrected (the home has a date of correction)
- D
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · November 20, 2024 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · November 20, 2024 · Corrected (the home has a date of correction)