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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
1E
2F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 6 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 surveyor observation, record review, and staff interview, the facility failed to ensure that food is stored, served, and distributed, in accordance with professional standards for food service safety, relative to the main kitchen.
- E
Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure that residents are free of any significant medication errors for 1 of 1 resident reviewed who was treated with antibiotics for infected heel wounds, Resident ID #3.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on surveyor observation, clinical record review and staff interview, the facility failed to meet professional standards of quality related to following physician's orders for 1 of 1 resident reviewed with an order for a cervical collar, Resident ID #11, for 1 of 1 resident reviewed with an order for no straws, Resident ID #70 and for 2 of 2 residents reviewed for non-pressure wounds, Resident ID #s 88 and 98.
- D
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 record review, surveyor observation and staff interview, it has been determined that the facility failed to store drugs and biologicals in accordance with currently accepted professional principles for 1 of 1 resident observed with medications at the bedside, Resident ID #9 and for 1 of 2 medication rooms observed during the medication storage task.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on surveyor observation, clinical record review and staff interview, the facility failed to ensure that resident records are complete and accurately documented, for 1 of 1 resident reviewed who was treated with an antibiotic for infected heel wounds, Resident ID #3 and for 1 of 2 residents reviewed for a non-pressure wound, Resident ID #88.
- D
Implement a program that monitors antibiotic use.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to establish an Infection Prevention and Control Program that must include, at a minimum, an antibiotic stewardship program which includes antibiotic use protocols and a system to monitor antibiotic use to ensure that residents who require an antibiotic, are prescribed the appropriate antibiotic for 2 of 5 residents reviewed for antibiotic use, Resident ID #s 2 and 3.
January 9, 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 surveyor observation, record review, and staff interview, it has been determined that the facility failed to prepare, store, and distribute food according to professional standards of food service safety, relative to the main kitchen and 1 of 2 nourishment areas observed.
- 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 record review and staff interview, it has been determined that the facility failed to implement comprehensive person-centered care plans for each resident, for 2 of 2 residents reviewed with indwelling urinary catheters (a flexible tube that collects urine from the bladder and leads to a drainage bag), Resident ID #s 33 and 38.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections, relative to Enhanced Barrier Precautions (EBP; involves using a gown and gloves during high-contact resident care activities), for 1 of 2 wound treatments observed, involving Resident ID #38.
August 6, 2024Complaint inspection · 1 citation
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that the resident's environment remains as free from accident hazards as possible, relative to the implementation of an intervention indicated on the Safe Resident Handling document, for 1 of 2 residents reviewed who had sustained a fracture while in the facility, Resident ID #1.
July 18, 2024Complaint inspection · 1 citation
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that residents maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range for 1 of 3 residents reviewed, Resident ID #1.
May 16, 2024Complaint inspection · 1 citation
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review, resident representative interview, and staff interview it has been determined that the facility failed to complete a discharge summary that includes, but is not limited to, a final summary of the resident's status at discharge and a reconciliation of the resident's medications for 1 of 2 discharged residents reviewed, Resident ID #2.
February 1, 2024Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 2 on January 9, 2025, 1 on February 1, 2024.
Every fire safety citation3 citations
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · January 9, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · January 9, 2025 · Corrected (the home has a date of correction)
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · February 1, 2024 · Corrected (the home has a date of correction)