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
November 25, 2025Complaint inspection · 1 citation
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure allegations of neglect were reported timely for 2 of 2 sampled residents. (Residents #3 and #8)
June 19, 2025Standard inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteResident #116 An observation of Resident #116 was conducted on 6/16/25 at 1:18 PM. Contact precautions signage was observed to be on the resident's room door. (Photographic evidence was obtained.) The signage instructed everyone to clean their hands before entering the room, and providers and staff to put on gown and gloves before entering the room. Employee A (Laundry Aide) was observed to enter the room and deliver Resident #116's laundry. Employee A did not apply a gown or gloves prior to entering the room. Employee A was observed to touch Resident #116's bare hand with her bare hand and then left the room. An interview was conducted with Employee A on 6/16/25 at 2:30 PM. She stated she recalled touching Resident #116's hand when she delivered her laundry. She observed the signage on the door but she did not know she had to apply a gown and gloves before entering the room. [...]
March 7, 2024Standard inspection, Complaint inspection · 1 citation
- 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 interviews and record review, the facility failed to implement the care plan for 1 of 3 residents sampled for wound care. (Resident #308)
December 1, 2022Standard inspection · 3 citations
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interviews, staff interviews and record review, the facility failed to provide a palatable diet that took resident preferences and feedback into consideration for 9 of 20 residents sampled who consume meals from the facility (#s 6, 7, 8, 10, 27, 34, 55, 66, and 109).
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on observation, interview, and record review the facility failed to offer adequate language assistance to residents who have limited English proficiency for 1 of 1 resident sampled for communication (#61).
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and recorded review the facility failed to comply with the facility's infection control policy and procedure for instilling eye medications for 1 of 1 sampled residents. (Resident # 89)
Fire safety inspections
8 fire safety citations on file: 2 on June 19, 2025, 2 on March 7, 2024, 4 on December 1, 2022.
Every fire safety citation8 citations
- D
Have properly sized and located compartments to protect residents from smoke.
K 371 · June 19, 2025 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · June 19, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 7, 2024 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · March 7, 2024 · Corrected (the home has a date of correction)
- D
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · December 1, 2022 · Corrected (the home has a date of correction)
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · December 1, 2022 · Corrected (the home has a date of correction)
- D
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · December 1, 2022 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 1, 2022 · Corrected (the home has a date of correction)