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 9 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
2E
0F
Potential for minimal harm
0A
0B
0C
July 24, 2026Standard inspection · 0 citations
August 1, 2025Standard inspection · 3 citations
- E
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 a review of clinical records review, resident and staff interviews, and policy review, the facility failed to ensure that medications were not left at the resident's bedside for 2 of 61 sampled residents (#36, #39). The deficient practice could result in the overmedication or undermedication of residents.-Regarding Resident #36Resident #36 was admitted to the facility on [DATE] with diagnoses that included fracture of the right femur, unspecified fall, acute post hemorrhagic anemia, and hypotension. An admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 15, which indicating intact cognition. During an initial observation of Resident #36's room on July 29, 2025 at 1:40 p.m., a container of Refresh lubricant eye drops 0.5 fl oz (fluid ounce) medication was observed lying on the resident's bedside table. [...]
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, staff interviews, and the facility policy and procedures, the facility failed to ensure two (#21 and #104) of 61 sampled residents' privacy was respected.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, and review of facility policy, the facility failed to ensure proper infection control was followed and maintained regarding placement of the catheter bag for one of 1 sampled residents (#23). The deficient practice could result in development and transmission of infections.
August 1, 2024Standard inspection · 3 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 interviews, and policy review, the facility failed to ensure food was stored in accordance with appropriate temperature guidelines for facility refrigerators and the kitchen freezer. The universe was 57. The deficient practice could increase the risk for foodborne illness.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record reviews, staff interviews, the Resident Assessment Instrument (RAI) manual, and facility policies, the facility failed to develop and complete a Discharge Minimum Data Set (MDS) assessment within the required timeframe for Resident # 11. The deficient practice could result in delayed identification of potential risks and care needs of the residents.
- 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 clinical record review, staff interviews and facility policy review, the facility failed to ensure that a physician order for the use of a foley catheter was in place for one resident (#20). The sample size was 15. The deficient practice could result in inappropriate use of a catheter.
May 24, 2024Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, clinical record review, interviews and policies and procedures, the facility failed to ensure one resident was appropriately supervised to prevent a fall with major injury. The deficient practice can contribute to residents being injured during a fall. Resident #19 was admitted to the facility December 7, 2023 and discharged to the hospital December 17, 2023. Resident #19 was re-admitted to the facility December 21, 2023 with diagnoses to include displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing, transient cerebral ischemic attack, unspecified, weakness. The MDS (minimum data set) dated December 13, 2023 indicate a brief interview for mental status was conducted revealing a BIMS score of 15suggesting resident is cognitively intact. [...]
October 19, 2023Complaint inspection · 1 citation
- 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 review, staff interviews, and the facility policy and procedures, the facility failed to update the fall care plan for one resident (#13). The deficient practice could result in more falls.
September 22, 2023Complaint inspection · 1 citation
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on closed clinical record review, interviews, and policies, the facility failed to ensure skin assessment was conducted as ordered by the physician for one resident (#1). The deficient practice could result in skin issues not identified and treated as appropriate.
Fire safety inspections
3 fire safety citations on file: 1 on July 24, 2026, 2 on April 21, 2023.
Every fire safety citation3 citations
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · July 24, 2026 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 21, 2023 · Corrected (the home has a date of correction)
- D
Have simulated fire drills held at unexpected times.
K 712 · April 21, 2023 · Corrected (the home has a date of correction)