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
4D
1E
0F
Potential for minimal harm
0A
1B
0C
March 5, 2026Standard inspection, Complaint inspection · 2 citations
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on staff and resident interviews, clinical record review, and facility policy review, the facility failed to ensure a resident was treated in a dignified manner for 1 of 5 residents reviewed (Residents #3). The facility reported a census of 41 residents.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, policy review, and resident and staff interviews the facility failed to follow physician orders by not giving medications within 1 hour before to 1 hour after the ordered time for 3 of 3 residents reviewed (Residents #6, #21, and #27). The facility reported a census of 41 residents.
January 30, 2025Standard inspection, Complaint inspection · 1 citation
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, clinical record review, staff interview, and facility policy review the facility failed to toilet 1 out of 1 resident reviewed (Resident #9). The facility reported a census of 32 residents.
April 18, 2024Complaint inspection · 1 citation
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on clinical record review, policy review, family and resident interviews, the facility failed to address the Baseline Care Plan with the resident or the resident's legal representative for 1 of 1 resident's sampled (Resident #1). The facility identified a census of 28 residents.
January 18, 2024Standard inspection, Complaint 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 observation, staff interview, and facility policy review, the facility failed to label and date food items when opened to reduce the risk of contamination and food-borne illness. The facility reported a census of 31 residents. Findings Include: On 1/16/24 at 10:08 AM, during the initial tour of the facility kitchen revealed the following food items not labeled or dated when opened: a. A bag of frozen baby baker potatoes. b. A bag of frozen mixed vegetables. c. A bag of frozen fajita blend vegetables. d. A bag of frozen cascade blend vegetables. e. A bag of frozen pasta. f. A bag of frozen garlic bread. g. A bag of elbow macaroni noodles. h. A bag of egg noodles. i. A bag of spaghetti noodles. j. A bag of long grain rice. k. A bag of brown sugar. [...]
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, facility document review and staff interview, the facility failed to comply with all applicable Federal Regulations regarding Medicare requirements governing billing practices for 2 of 3 residents reviewed for Liability and Appeal notices (Resident #183 and #184). The facility identified a census of 31 residents. Findings Include: 1. Review of facility documentation for Resident #183 revealed the resident started Skilled Services 7/17/23 and the last covered day of Part A Services was 7/28/23. The facility Administrator could not provide a signed form to verify the resident received notification of the Medicare options or their appeal rights. 2. Review of facility documentation for Resident #184 revealed the resident started skilled services 8/25/23 and the last covered day of Part A services was 9/5/23. [...]
Fire safety inspections
13 fire safety citations on file: 2 on March 5, 2026, 3 on January 30, 2025, 8 on January 18, 2024.
Every fire safety citation13 citations
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · March 5, 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 5, 2026 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · January 30, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · January 30, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 30, 2025 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · January 18, 2024 · Corrected (the home has a date of correction)
- F
Conduct risk assessment and an All-Hazards approach.
E 6 · January 18, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · January 18, 2024 · Corrected (the home has a date of correction)
- F
Properly provide smoke detection systems in areas open to corridors.
K 347 · January 18, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 18, 2024 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · January 18, 2024 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · January 18, 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 · January 18, 2024 · Corrected (the home has a date of correction)