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 6 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
0E
0F
Potential for minimal harm
0A
0B
0C
March 3, 2026Standard inspection · 1 citation
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a self-medication administration assessment was completed for 1 of 2 residents reviewed for medications left at the bedside. (Resident 9)
February 12, 2025Complaint inspection · 1 citation
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident with urinary incontinence received care in accordance with professional standards of care for 1 of 4 residents reviewed for incontinence care. (Resident B)
December 6, 2024Standard 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 interview and record review, the facility failed to ensure care plans were revised for 1 of 24 residents reviewed for advanced directives. (Resident 90)
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to administer pneumococcal vaccinations for 2 of 5 residents reviewed for pneumococcal vaccinations. (Resident 84, Resident 90)
May 22, 2024Complaint inspection · 1 citation
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to complete the drug disposition for 1 of 3 clinical records reviewed for discharged residents. (Resident E)
January 9, 2024Standard inspection, Complaint inspection · 1 citation
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure intravenous (IV) tubing was initialed or dated for 3 of 3 residents reviewed for IV therapy. (Resident 65, Resident 139, Resident 24)
Fire safety inspections
20 fire safety citations on file: 12 on March 3, 2026, 6 on December 6, 2024, 2 on January 9, 2024.
Every fire safety citation20 citations
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · March 3, 2026 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · March 3, 2026 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · March 3, 2026 · Corrected (the home has a date of correction)
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K 914 · March 3, 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 · March 3, 2026 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · March 3, 2026 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · March 3, 2026 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · March 3, 2026 · Corrected (the home has a date of correction)
- E
Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
K 905 · March 3, 2026 · Corrected (the home has a date of correction)
- E
Ensure medical gas and vacuum systems have documented maintenance programs.
K 907 · March 3, 2026 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · March 3, 2026 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · March 3, 2026 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 6, 2024 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · December 6, 2024 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · December 6, 2024 · 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 · December 6, 2024 · Corrected (the home has a date of correction)
- E
Ensure medical gas and vacuum systems have documented maintenance programs.
K 907 · December 6, 2024 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · December 6, 2024 · 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 · January 9, 2024 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · January 9, 2024 · Corrected (the home has a date of correction)