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
May 13, 2026Standard inspection · 1 citation
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interviews, the facility failed to submit a request for a Level II Preadmission Screening and Resident Review (PASRR) evaluation for a resident who was admitted to the facility with a serious mental health disorder for 1 of 3 residents reviewed for PASRR (Resident #1).
February 20, 2026Complaint inspection · 2 citations
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, record review, and interviews with residents, staff, Physician, and Psychiatric Nurse Practitioner, the facility failed to develop and implement individualized person-centered care plan approaches for a resident (Resident # 8) diagnosed with dementia who had a known pattern of verbal behaviors, to include yelling slurs and foul language, specifically targeting Resident # 9. Staff reported that they attempted redirection of Resident #8, but the behaviors had continued and no additional care plan interventions had been developed or implemented that focused on instructing staff on how to manage these verbal behaviors. This deficient practice was for 1 of 1 resident (Resident # 8) sampled for dementia care.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, and interviews with staff and Medical Director the facility failed to ensure the medical record was complete regarding documentation of acute medical symptoms and the administration of an as needed medication. This was for 1 (Resident # 1) of 3 residents reviewed for acute medical needs.
February 20, 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 and staff interviews, the facility failed to date opened food items and seal leftover frozen food stored in 1 of 1 reach-in freezer, 1 of 1 walk-in freezer, 1 of 1 dry goods storage area and failed to remove a bowl being used as a scoop observed nested in breadcrumbs in one of the dry ingredient storage bins in the kitchen. This practice had the potential to affect foods served to the residents.
- 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 observations, record review and staff and family interviews the facility failed to implement an activity intervention on the comprehensive care plan for 1 of 22 residents (Resident #29).
January 19, 2024Standard inspection · 1 citation
- B
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review, staff and family interviews the facility failed to provide a written summary of the baseline care plan to the resident or resident representative in 3 out of 3 sampled residents (Resident # 6, Resident # 75, and Resident #84).
Fire safety inspections
8 fire safety citations on file: 3 on February 20, 2025, 4 on January 19, 2024, 1 on August 3, 2022.
Every fire safety citation8 citations
- E
Meet other general requirements.
K 200 · February 20, 2025 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · February 20, 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 · February 20, 2025 · Corrected (the home has a date of correction)
- E
Install a fire alarm system that can be heard throughout the facility.
K 341 · January 19, 2024 · 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 19, 2024 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · January 19, 2024 · Corrected (the home has a date of correction)
- D
Use approved construction type or materials.
K 161 · January 19, 2024 · Corrected (the home has a date of correction)
- F
Have an alternate power supply for its alarm system.
K 344 · August 3, 2022 · Corrected (the home has a date of correction)