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
5D
1E
0F
Potential for minimal harm
0A
0B
0C
April 22, 2026Standard inspection · 0 citations
September 28, 2023Standard inspection · 3 citations
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, observation, staff interviews, and review of facility policy, the facility failed to notify a resident's physician of a significant change in weight. This affected one (Resident #52) of one resident reviewed for notification. The facility census was 75.
- D
Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on review of the medical record, observation, staff interviews, and facility policy review, the facility failed to ensure a resident had access to hearing devices and failed to investigate missing hearing aids. This affected one (Resident #23) of one resident reviewed for hearing aids. The facility census was 75.
- 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 medical record review, staff and resident interviews, and policy review, the facility failed to provide restorative programs per therapy recommendations. This affected one (Resident #66) of two residents reviewed for positioning and range of motion. The facility census was 75.
November 18, 2021Standard inspection · 3 citations
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure residents were treated with dignity and respect while being provided assistance with eating in the dining room. This affected four (#22, #7, #19, and #36) of four residents observed receiving assistance with eating in the memory care dining room. The census was 74.
- 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 medical record review, observation, and staff interview, the facility failed to revise a resident's care plan. This affected one (#65) of three residents reviewed for accidents. The census was 74.
- D
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on medication administration observation, medical record review, staff interview, and manufacturer's instructions review, the facility failed to ensure insulin was administered as ordered by the physician and as instructed by the manufacturer resulting in a significant medication error. This affected one (#10) of one resident observed for insulin administration. The census was 74.
Fire safety inspections
10 fire safety citations on file: 1 on April 22, 2026, 7 on September 28, 2023, 2 on November 18, 2021.
Every fire safety citation10 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 22, 2026 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · September 28, 2023 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · September 28, 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 · September 28, 2023 · 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 · September 28, 2023 · Corrected (the home has a date of correction)
- E
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 · September 28, 2023 · Corrected (the home has a date of correction)
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
K 343 · September 28, 2023 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · September 28, 2023 · Corrected (the home has a date of correction)
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · November 18, 2021 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · November 18, 2021 · Corrected (the home has a date of correction)