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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, facility policy review, resident and staff interviews, the facility failed to ensure Enhanced Barrier Precautions (EBP) used during wound care and urinary catheter care as a measure to reduce the transition of multidrug resistant organisms for 1 of 1 residents (Resident #5) reviewed for infection control. The facility reported a census of 29.
January 22, 2026Complaint inspection · 1 citation
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, staff interviews, and the facility policy, the facility failed to perform check and changes on a resident for at least 8 hours for 1 of 3 residents reviewed for incontinence cares (Resident #1). The facility reported a census of 32 residents.
May 29, 2025Standard inspection · 3 citations
- 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 observation, staff interview, and clinical record review, the facility failed to update the Care Plan for 2 of 12 residents for risk of elopement (Resident #18) and use of an antibiotic (Resident #26). The facility reported a census of 27 residents.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, and staff interview, the facility failed to instruct a resident to swish and spit after receiving a puff of a steroid inhaler for 1 of 1 residents observed for inhalation medication administration (Resident #16). The facility reported a census of 27 residents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility failed to ensure fall interventions were consistently implemented for 1 of 3 residents reviewed for accidents (Resident #18). The facility reported a census of 27 residents.
August 8, 2024Standard inspection · 0 citations
March 13, 2024Complaint inspection · 1 citation
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, interviews, and the facility policy reviewed, the facility failed to provide showers daily per physician orders for 1 of 3 residents reviewed for showers (Resident #5). The facility reported a census of 29 residents.
January 22, 2024Complaint inspection · 3 citations
- G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on Facility Reported Incident (FRI) review, observations, staff interviews, and facility policy review, the facility failed to protect the residents' right to be free from mental abuse and verbal abuse by a staff member for three of six residents reviewed for abuse (Resident #30, #84, and #134), resulting in a resident report of the employee being mean to them, resident display of negative reactions including being irate and displaying increased behaviors around the employee, and staff report of the employee taunting a resident. The facility reported a census of 30 residents. Findings Include: Review of a Self-Report Reporting Information for an Incident which occurred 10/9/23 at 10:00 AM, documented the following per the Incident Summary: A staff member wrote a statement stating Staff B, Certified Nursing Assistant (CNA) on 2nd sift talks badly to the residents. [...]
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on Facility Reported Incident (FRI) review, staff interviews, and facility policy review the facility failed to ensure allegations of mental abuse and verbal abuse from a staff member to residents was reported to the State Agency within required regulatory timeframe for five of six residents reviewed for abuse included as part of a Facility Reported Incident and/or included in staff statements as part of the FRI (Resident #1, #4, #13, #30, and #134). The facility reported a census of 30 residents. Findings Include: Review of a Self-Report Reporting Information for an Incident which occurred 10/9/23 at 10:00 AM, documented the following per the Incident Summary: A staff member wrote a statement stating Staff B, Certified Nursing Assistant (CNA) on 2nd sift talks badly to the residents. She stated that residents have told her to get out of their room. [...]
- E
Respond appropriately to all alleged violations.
Inspectors wroteBased on Facility Reported Incident (FRI) review, clinical record review, staff interviews, and facility policy review, the facility failed to conduct a thorough investigation following allegations of mistreatment, mental abuse, and verbal abuse from a staff member to residents for six of six residents reviewed for abuse, four of which were named in a Facility Reported Incident (FRI) (Resident #1, #4, #13, and #30), one additional resident referenced in a staff statement included in the FRI documentation (Resident #134), and for one additional resident identified by staff upon interview (Resident #84). The facility reported a census of 30 residents. Findings Include: Review of a Self-Report Reporting Information for an Incident which occurred 10/9/23 at 10:00 AM, documented the following per the Incident Summary: [...]
Fire safety inspections
11 fire safety citations on file: 2 on May 7, 2026, 4 on May 29, 2025, 5 on August 8, 2024.
Every fire safety citation11 citations
- F
Conduct testing and exercise requirements.
E 39 · May 7, 2026 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 7, 2026 · Corrected (the home has a date of correction)
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · May 29, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · May 29, 2025 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 29, 2025 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · May 29, 2025 · Corrected (the home has a date of correction)
- F
Install a fire alarm system that can be heard throughout the facility.
K 341 · August 8, 2024 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · August 8, 2024 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · August 8, 2024 · Corrected (the home has a date of correction)
- E
Provide a written emergency evacuation plan.
K 711 · August 8, 2024 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · August 8, 2024 · Corrected (the home has a date of correction)