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 11 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
4E
1F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection · 5 citations
- F
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, observations, and interviews, the facility failed to label, and date opened food items and maintain kitchen equipment in a sanitary condition in 1 of 1 kitchen and failed to discard expired cold food items in 1 of 1 nourishment rooms which had the potential to affect 93 of 95 residents residing in the facility.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure resident personal refrigerators were maintained in a clean and sanitary manner, failed to ensure temperature logs were maintained and temperatures were within facility policy recommendations, and failed to ensure expired foods were not available for resident use for 6 residents (Residents #114, #71, #11, #31, #18, and #9) of 11 resident personal refrigerators observed.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to label the intravenous (IV) medication tubing for 1 resident (Resident #97) of 2 residents reviewed with IV medications.
- 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 manufacturer's recommendations, facility policy review, facility document review, observation, and interview, the facility failed to properly store medications in 1 of 1 medication room observed.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices related to indwelling urinary catheter use were followed for 1 resident (Resident #11) reviewed of 9 residents reviewed for urinary catheters.
September 27, 2023Standard inspection, Complaint inspection · 5 citations
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on facility policy review, observation and interview, the facility failed to provide milk products for 2 meals, affecting 85 of 87 residents in the facility.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on product label review, facility policy review, facility vendor instruction review, observation, and interview the facility failed to maintain a safe and sanitary food procurement and storage of thickened liquids affecting 2 Residents (#3 and #71) of 2 resident reviewed for thickened liquids, during meal observation, and failed to maintain a clean and sanitary kitchen which had the potential to affect 85 of 87 residents.
- E
Keep all essential equipment working safely.
Inspectors wroteBased on facility policy review, observation and interview the facility failed to ensure kitchen equipment was maintained in good repair in 1 of 1 kitchen which had the potential to affect 85 of 87 residents.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations and interviews, the facility failed to maintain a safe, comfortable, and homelike environment for 1 of 4 hallways observed, affecting 8 of 16 rooms (RM 400, RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], and RM [ROOM NUMBER]) on the 400 hallway.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure 2 of 8 hand sanitizing stations were in a good working order on 1 hallway (400 hall) of 4 hallways observed, failed to ensure the staff had performed appropriate hand hygiene during meal observation on 1 of 4 hallways observed for dining, and failed to properly store the emergency water supply in a sanitary manner in one storage room (laundry storage room) observed.
January 8, 2020Standard inspection · 1 citation
- 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 review of facility policy, observation, and interview the facility failed to properly label and store medications and supplies in 1 of 1 medication rooms.
Fire safety inspections
9 fire safety citations on file: 1 on February 19, 2026, 6 on September 27, 2023, 2 on January 8, 2020.
Every fire safety citation9 citations
- D
Have properly installed electrical wiring and gas equipment.
K 511 · February 19, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · September 27, 2023 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · September 27, 2023 · Corrected (the home has a date of correction)
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · September 27, 2023 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · September 27, 2023 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · September 27, 2023 · Corrected (the home has a date of correction)
- D
Meet requirements for the installation and maintenance of electrical systems.
K 911 · September 27, 2023 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · January 8, 2020 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · January 8, 2020 · Corrected (the home has a date of correction)