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 8 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
1E
0F
Potential for minimal harm
0A
0B
0C
April 22, 2026Complaint inspection · 1 citation
- 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 clinical record review, staff interviews and policy review the facility failed to develop a care plan to address suicidal ideations and interventions for suicidal precautions for 1 of 3 residents (Residents #1) reviewed for comprehensive care plans. The facility reported a census of 50 residents.
September 25, 2025Standard inspection · 2 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 observations, staff interviews and recommendations from the Food Code United States Public Health and Safety 2017, the facility failed to properly thaw/defrost meat and serve food under appropriate sanitary conditions to prevent, reduce or eliminate potential hazards. The facility reported a census of 49 residents. Findings Include:1. On 09/22/2025 at 10:03 AM during the initial kitchen tour, observed roast thawing in water in the sink without continuous running water. At 12:55 PM the roast remained submerged in the water in the sink. When questioning the Certified Dietary Manager (CDM) about the roast that was in the water in the sink, he said that he had forgotten about the roast in the sink. When asked what his expectations were from his staff when thawing meat he said that typically they would let the water just run over the meat. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, staff interviews, and policy review the facility failed to maintain infection control practices for 1 of 3 residents reviewed (Resident #6). The facility failed to ensure use of enhanced barrier precautions (EBP) when required. The facility reported a census of 49 residents.
November 7, 2024Standard inspection · 2 citations
- 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 resident record review, staff interview, and facility policy review the facility failed to develop and implement a comprehensive person-centered care plan to include a resident's repeated hospitalizations for pneumonia for 1 resident (Resident #36) and high-risk medications for 2 residents (Resident #7 and #35) of 15 residents reviewed for care plans. The facility reported a census of 49 residents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, record review, staff interviews and facility policy the facility failed to properly prevent an unstageable pressure ulcer to bilateral heels consistent with professional standards of practice for 1 of 1 residents reviewed (Resident #28). The facility reported a census of 49 residents. The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues. Stage II is partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough (dead tissue, usually cream or yellow in color). May also present as an intact or open/ruptured blister. Stage III Full thickness tissue loss. [...]
August 8, 2024Complaint inspection · 1 citation
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, family interview, staff interview, and policy review the facility failed to properly post past survey results and ombudsman information in a readily accessible area for residents, family members of residents, and legal representatives. The facility reported a census of 48 residents.
October 12, 2023Standard inspection, Complaint 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 clinical record review, staff interview, and facility policy review the facility failed to update Care Plans in a timely manner to reflect the resident's condition for 2 of 5 residents reviewed (Residents #19 and #39).
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, policy review, manufacturer's instruction, and staff interview the facility failed to properly clean and disinfect a shared glucometer (medical device to measure the amount of glucose in the blood) to maintain standard precautions for infection control. The facility reported a census of 42 residents.
Fire safety inspections
12 fire safety citations on file: 1 on September 25, 2025, 4 on November 7, 2024, 7 on October 12, 2023.
Every fire safety citation12 citations
- F
Conduct testing and exercise requirements.
E 39 · September 25, 2025 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · November 7, 2024 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 7, 2024 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · November 7, 2024 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · November 7, 2024 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · October 12, 2023 · 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 · October 12, 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 · October 12, 2023 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · October 12, 2023 · Corrected (the home has a date of correction)
- D
Install a two-hour-resistant firewall separation.
K 133 · October 12, 2023 · Corrected (the home has a date of correction)
- D
Use approved construction type or materials.
K 161 · October 12, 2023 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · October 12, 2023 · Corrected (the home has a date of correction)