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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
4F
Potential for minimal harm
0A
0B
0C
December 3, 2025Complaint inspection · 1 citation
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, staff and resident interview, and observation, the facility failed to ensure a resident who was dependent on staff with toileting received timely incontinence care. This affected one (#40) of three residents reviewed for incontinence care. The facility census was 72.
September 24, 2025Complaint inspection · 1 citation
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 68 residents receiving meals from the kitchen. The facility identified four residents (Resident #25, #47, #70, and #71) who did not eat by mouth (NPO). The facility census was 72Findings include:An observation was conducted on 09/22/25 at 10:40 A.M. of the facility kitchen with Dietary Manager (DM) #300 and revealed the following sanitation concerns: there was a moderate build-up of grime around the air vents above the range where food was prepared, a moderate build-up of dirt and grease on the wall behind the convection oven extending to the extinguisher bottle of the hood fire suppression system, and grime underneath the ice machine. [...]
March 4, 2025Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review, review of facility policy, and staff interview, the facility failed to ensure physician ordered and care plan fall interventions were in place for Resident #59 who has a fall history. This affected one (Resident #59) of three residents reviewed for falls. The facility census was 89.
October 10, 2024Complaint inspection · 1 citation
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a comprehensive non-pressure skin prevention plan was implemented and/or maintained to prevent non-pressure skin alterations. This affected one resident (Resident $28) of four residents reviewed for wounds. The census was 81.
November 22, 2023Complaint inspection · 1 citation
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, resident interviews, and staff interviews the facility failed to maintain a clean, safe, sanitary and well-maintained environment. This had the potential to affect all residents. The facility census was 83. Findings Include: Interview on 11/19/23 at 8:05 A.M. with Housekeeper (HKPR) #744 revealed the facility was cleaned daily but she was the only housekeeper working and the housekeeping department was extremely short staffed. HKPR #744 revealed she tried to get to as many rooms as she could during her shift. An environmental tour was conducted on 11/19/23 between 8:25 A.M. and 8:40 A.M. with Nursing Supervisor (NS) #839. The following was observed and verified at the time of discovery: [...]
January 12, 2023Standard inspection · 3 citations
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation and interview the facility failed to serve meals at a palatable temperature. This had the potential to affect 89 of 90 residents who ate meals served from the kitchen. Resident #64 received nothing by mouth.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview the facility failed to maintain the dish machine in working order. This affected all residents who received meals from the facility. The facility identified one resident (Resident #64) who did not receive meals from the kitchen. The facility census was 90.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident #67's central line intravenous catheter dressing was changed per the physician order. This affected one (Resident #67) of one resident reviewed for intravenous access.
January 9, 2020Standard inspection · 0 citations
December 6, 2018Standard inspection · 0 citations
Fire safety inspections
27 fire safety citations on file: 9 on January 12, 2023, 5 on January 9, 2020, 13 on December 6, 2018.
Every fire safety citation27 citations
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · January 12, 2023 · Corrected (the home has a date of correction)
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K 346 · January 12, 2023 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 12, 2023 · Corrected (the home has a date of correction)
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K 354 · January 12, 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 12, 2023 · Corrected (the home has a date of correction)
- E
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 · January 12, 2023 · Corrected (the home has a date of correction)
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K 232 · January 12, 2023 · 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 · January 12, 2023 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · January 12, 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 · January 9, 2020 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · January 9, 2020 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · January 9, 2020 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · January 9, 2020 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · January 9, 2020 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · December 6, 2018 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · December 6, 2018 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · December 6, 2018 · Corrected (the home has a date of correction)
- F
Ensure proper usage of power strips and extension cords.
K 920 · December 6, 2018 · Corrected (the home has a date of correction)
- E
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 · December 6, 2018 · Corrected (the home has a date of correction)
- E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
K 227 · December 6, 2018 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · December 6, 2018 · 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 · December 6, 2018 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · December 6, 2018 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · December 6, 2018 · Corrected (the home has a date of correction)
- C
Establish roles under a Waiver declared by secretary.
E 26 · December 6, 2018 · deficient, provider has
- C
Provide family notifications of emergency plan.
E 35 · December 6, 2018 · deficient, provider has
- C
Establish staff and initial training requirements.
E 37 · December 6, 2018 · deficient, provider has