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 3 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
0F
Potential for minimal harm
0A
0B
0C
July 23, 2026Standard inspection · 0 citations
May 16, 2024Standard inspection · 2 citations
- E
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interviews, the facility failed to obtain daily weights as ordered for 1 (Resident #4) of 1 resident reviewed with congestive heart failure, which may cause the resident to retain fluids.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, staff interviews, record review, and review of facility policy and procedure, the facility failed to ensure 1 (Residents #3) of 3 residents reviewed with grab bars was assessed for alternative interventions prior to the use of grab bars. The facility failed to assess for danger of entrapment prior to use of the use of the grab bars and failed to conduct periodic maintenance of the grab bars to ensure they remained safe for resident's use. The facility had a total of 30 residents using grab bars.
January 20, 2023Standard inspection · 1 citation
- 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 observation, review of facility's policy and procedure, staff and resident interviews, the facility failed to label, and safely store medications for 3 (Resident #19, #21, #16) of 4 residents observed with unsecured medications at the bedside.
Fire safety inspections
6 fire safety citations on file: 1 on November 5, 2024, 2 on May 16, 2024, 3 on January 20, 2023.
Every fire safety citation6 citations
- F
Meet other general requirements.
K 100 · November 5, 2024 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · May 16, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · May 16, 2024 · Corrected (the home has a date of correction)
- F
Provide properly protected cooking facilities.
K 324 · January 20, 2023 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · January 20, 2023 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 20, 2023 · Corrected (the home has a date of correction)