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 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
0E
0F
Potential for minimal harm
0A
0B
2C
July 23, 2026Complaint inspection · 2 citations
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the resident or responsible party of physician ordered changes for one of five sampled residents. (Resident 1)
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, facility documentation review, and staff interview, it was determined that the facility failed to ensure that staff provided adequate supervision to prevent wandering and access to resident restricted areas for one of five sampled residents. (Resident 1) In addition, the facility failed to document and thoroughly investigate the incident.
March 16, 2026Complaint inspection · 2 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to implement physician's orders for two of five sampled residents. (Residents 1 and 4)
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to provide treatment and services as ordered by the physician to promote healing and prevent new pressure sores for two of five sampled residents who had pressure sores. (Resident 2, 3)
February 17, 2026Complaint inspection · 1 citation
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that physician ordered medication was available from the pharmacy for two of seven sampled residents. (Residents 1, 7)
January 19, 2026Complaint inspection · 1 citation
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility documentation review, and staff interview, it was determined that the facility failed to file timely reports of allegations of abuse to officials, including the State Survey Agency, for two of six sampled residents. (Residents 3 and 5)
January 2, 2026Complaint inspection · 1 citation
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, policy review, and staff interview, it was determined that the facility failed to ensure that nursing services met professional standards of quality as required by the Pennsylvania Code Title 49, Professional and Vocational Standards by failing to ensure that a Registered Nurse (RN) conducted assessments for two of five sampled residents. (Residents 1 and 2)
August 28, 2025Standard inspection, Complaint inspection · 4 citations
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on facility policy review, personnel file review, and staff interview, it was determined that the facility failed to verify professional license/registration status prior to the start of employment for two of five newly hired employees. (Employee 1 and Employee 2)
- D
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Inspectors wroteBased on clinical record review, policy review, and staff interview, it was determined that the facility failed to document an inventory of personal belonging on admission for one of 19 sample residents. (Resident 58)
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for three of 19 sampled residents. (Residents 12, 51, and 100)
- C
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the resident and the resident's representative(s) of transfer(s), including the reasons for the moves, and Ombudsman information, in writing upon transfer and failed to provide copies of the written transfer notices to a representative of the Office of the State Long-Term Care Ombudsman for five out of five residents who were transferred out of the facility. (Residents 7, 11, 12, 13, and 51)
August 9, 2025Complaint inspection · 1 citation
- C
Post nurse staffing information every day.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to post accurate and current nurse staffing information.
October 24, 2024Standard inspection · 2 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of 20 sampled residents. (Resident 101)
- D
Provide appropriate foot care.
Inspectors wroteBased on clinical record review, observation, review of facility documentation, and staff interview, it was determined that the facility failed to provide nail care to promote foot health for one of 20 sampled residents. (Resident 12)
October 21, 2023Complaint inspection · 1 citation
- D
Provide appropriate foot care.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide nail care to maintain good foot health for one of six sampled residents. (Resident 2)
September 28, 2023Standard inspection · 3 citations
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of 20 sampled residents. (Resident 12)
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to assess and provide nutritional interventions in a timely manner for one of five sampled residents at risk for weight loss. (Resident 44)
- 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 observation, it was determined that the facility failed to provide a safe, sanitary, and comfortable environment on one of two nursing units. (Second floor)
Fire safety inspections
10 fire safety citations on file: 4 on August 28, 2025, 3 on October 24, 2024, 3 on September 28, 2023.
Every fire safety citation10 citations
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
K 225 · August 28, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 28, 2025 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · August 28, 2025 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · August 28, 2025 · Corrected (the home has a date of correction)
- F
Provide properly sized and located linen or trash receptacles.
K 754 · October 24, 2024 · Corrected (the home has a date of correction)
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · October 24, 2024 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · October 24, 2024 · Corrected (the home has a date of correction)
- E
Use approved construction type or materials.
K 161 · September 28, 2023 · Corrected (the home has a date of correction)
- D
Have power receptacles that are properly grounded.
K 912 · September 28, 2023 · Corrected (the home has a date of correction)
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · September 28, 2023 · Corrected (the home has a date of correction)