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 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
0E
2F
Potential for minimal harm
0A
0B
1C
June 3, 2026Complaint inspection · 1 citation
- 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 observation and staff interview, it was determined that the facility failed to ensure that a safe, clean, and comfortable environment was maintained on one of four nursing units. ([NAME])
January 29, 2026Complaint inspection · 1 citation
- 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 observation, it was determined that the facility failed to provide a safe, sanitary, and comfortable environment in the main kitchen and on one of four nursing units. (St. [NAME])
December 19, 2025Standard inspection · 13 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 policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department.
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to ensure that a resident had a call bell accessible to request assistance from staff for four of 24 sampled residents. (Resident 30, 68, 74, 102)
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on clinical record review and resident interview, it was determined that the facility failed to provide activities in accordance with resident preferences and choice for one of 24 sampled residents. (Resident 6)
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the Minimum Data Set (MDS) assessment was completed to accurately reflect the current status of three of 24 sampled residents. (Residents 1, 9, and 23)
- 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 and staff interview, it was determined that the facility failed to review the care plan within seven days after the completion of the comprehensive assessment for three of 24 sampled residents. (Residents 5, 30, 68)
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement physicians' orders for two of 24 sampled residents. (Resident 14, 32)
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide restorative nursing services to prevent a reduction in range of motion and/or to improve or maintain mobility on a consistent basis for one of 24 sampled residents. (Resident 112)
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to implement safety interventions for three of five sampled residents at risk for falls. (Residents 68, 98, 112)
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on clinical record review and resident interviews, it was determined that the facility failed to accommodate food preferences for one of 24 sampled residents. (Resident 9)
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that adaptive equipment was provided to one of 24 sampled residents. (Resident 15)
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, clinical record review, observations, and staff interviews, it was determined that the facility failed to follow policies and procedures to prevent the spread of infection for one of 24 sampled residents. (Resident 6)
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, it was determined that the facility failed to provide a safe, sanitary, and comfortable environment on two of four nursing units. (St. [NAME] and St. [NAME])
- C
Post nurse staffing information every day.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to post accurate and current nurse staffing information.
January 24, 2025Standard inspection · 3 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 policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department.
- 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 and staff interview, it was determined that the facility failed to develop a comprehensive care plan that addressed individual residents' needs as identified in the comprehensive assessment for three of 25 sampled residents. (Residents 6, 9, 61)
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for four of 25 sampled residents. (Residents 28, 32, 55, 258)
January 18, 2024Standard inspection · 0 citations
Fire safety inspections
17 fire safety citations on file: 1 on December 19, 2025, 9 on January 24, 2025, 7 on January 18, 2024.
Every fire safety citation17 citations
- E
Install corridor and hallway doors that block smoke.
K 363 · December 19, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 24, 2025 · Corrected (the home has a date of correction)
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · January 24, 2025 · Corrected (the home has a date of correction)
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
K 342 · January 24, 2025 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · January 24, 2025 · 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 24, 2025 · Corrected (the home has a date of correction)
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · January 24, 2025 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · January 24, 2025 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · January 24, 2025 · Corrected (the home has a date of correction)
- C
Conduct testing and exercise requirements.
E 39 · January 24, 2025 · 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 posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · January 18, 2024 · Corrected (the home has a date of correction)
- E
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)
- E
Ensure proper usage of power strips and extension cords.
K 920 · January 18, 2024 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · January 18, 2024 · Corrected (the home has a date of correction)
- C
Conduct testing and exercise requirements.
E 39 · January 18, 2024 · Corrected (the home has a date of correction)
- B
Have restrictions on the use of highly flammable decorations.
K 753 · January 18, 2024 · Corrected (the home has a date of correction)