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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
3F
Potential for minimal harm
0A
0B
0C
July 15, 2026Standard 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 facility policy review, observations, and interviews, the facility failed to ensure the cleanliness of food preparation equipment which had the potential to affect 66 of 66 residents.
- F
Keep all essential equipment working safely.
Inspectors wroteBased on facility policy review, record review, observations, and interviews, the facility failed to ensure essential kitchen equipment was maintained in safe operating condition which had the potential to affect 66 of 66 residents.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to ensure medications were documented as administered for 1 resident of 3 residents reviewed for medication administration.
June 1, 2023Standard inspection · 5 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 facility policy review, observation and interview, the facility failed to maintain a sanitary environment in the kitchen, with the potential to affect 72 of 74 residents in the facility.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on facility policy review, observations and interviews, the facility failed to provide a safe, clean, and homelike environment for 1 Resident (#55) of 39 residents reviewed, failed to maintain the upkeep of painted walls in 2 of 4 hallways, failed to maintain the integrity and cleanliness of 2 speciality chairs of the 30 speciality chairs in the facility, failed to provide a safe, clean, and homelike environment for 1 of 1 shower rooms, and failed to provide a safe, clean, and homelike environment for 1 of 1 dining rooms.
- 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 facility policy review, medical record review and interview, the facility failed to revise the comprehensive care plan for 1 Resident (#53) to include pressure ulcer interventions of 3 residents reviewed for pressure ulcers.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to investigate a fall for 1 Resident (#53) of 3 falls reviewed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to follow the facility policy to obtain a physician's order for an indwelling urinary catheter to include catheter care for 1 resident (#46) and failed to obtain a physician's order for the bulb size of an indwelling urinary catheter for 1 resident (#71) of 3 residents reviewed for catheter use.
December 7, 2021Standard inspection · 3 citations
- 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 facility policy review, medical record review, and interview, the facility failed to develop a comprehensive care plan for wound management, for 1 resident (#214) of 20 residents reviewed for care plans.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medications were stored and administered safely for 1 resident (Resident #33) of 7 residents observed and reviewed for medication administration when a nurse left the resident's medication at the bedside unattended.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on review of facility policy, job description, observation, and interview, the facility failed to maintain a safe, functional, and comfortable environment for 1 of 38 resident rooms observed.
Fire safety inspections
14 fire safety citations on file: 6 on July 15, 2026, 1 on December 12, 2024, 6 on June 1, 2023, 1 on December 7, 2021.
Every fire safety citation14 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · July 15, 2026 · Corrected (the home has a date of correction)
- D
List the names and contact information of those in the facility.
E 30 · July 15, 2026 · Corrected (the home has a date of correction)
- D
Provide primary/alternate means for communication.
E 32 · July 15, 2026 · Corrected (the home has a date of correction)
- D
Implement emergency and standby power systems.
E 41 · July 15, 2026 · Corrected (the home has a date of correction)
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · July 15, 2026 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · July 15, 2026 · Corrected (the home has a date of correction)
- D
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · December 12, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · June 1, 2023 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · June 1, 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 · June 1, 2023 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · June 1, 2023 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · June 1, 2023 · Corrected (the home has a date of correction)
- D
Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
K 905 · June 1, 2023 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 7, 2021 · Corrected (the home has a date of correction)