30 earlier / fire-safety inspections (138 citations)
2026-03-05Health inspectionComplaint-triggered2 citations
F-0558E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-11
F-0689E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-11
2025-11-24Health inspectionComplaint-triggered1 citation
F-0684G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-01
2025-09-23Health inspectionComplaint-triggered4 citations
F-0580E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-26
F-0693D · No harm foundFrom a complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-09-26
F-0759E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-26
F-0880D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-10-01
2025-09-03Health inspectionComplaint-triggered6 citations
F-0580D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-26
F-0684G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-26
F-0689G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-26
F-0755D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-26
F-0760D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-09-26
F-0842E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-26
2025-08-07Health inspectionComplaint-triggered1 citation
F-0583D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
2025-07-01Health inspectionComplaint-triggered2 citations
F-0580D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-20
F-0684D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-20
2025-05-22Health inspectionComplaint-triggered2 citations
F-0600D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-28
F-0609D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-28
2025-05-08Health inspectionComplaint-triggered1 citation
F-0880D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
2025-04-21Health inspectionComplaint-triggered1 citation
F-0684D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-28
2025-02-13Health inspectionComplaint-triggered2 citations
F-0677D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-26
F-0686D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-26
2025-01-22Health inspectionComplaint-triggered1 citation
F-0641D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-02-04
2024-12-06Health inspection2 citations
F-0692G · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-17
F-0698G · Actual harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-17
2024-10-24Health inspectionComplaint-triggered3 citations
F-0580D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-11
F-0689E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-11
F-0842D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-11
2024-10-10Health inspectionComplaint-triggered1 citation
F-0697G · Actual harmFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-27
2024-09-19Health inspectionComplaint-triggered1 citation
F-0694D · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-09-07
2024-09-05Health inspectionComplaint-triggered3 citations
F-0550E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-24
F-0584E · No harm foundFrom a complaint
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.
Corrected 2024-09-24
F-0609D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-24
2024-07-24Health inspectionComplaint-triggered2 citations
F-0602D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-05
F-0607D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-05
2024-05-20Health inspectionComplaint-triggered1 citation
F-0689D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-04
2024-05-08Health inspectionComplaint-triggered3 citations
F-0550D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-24
F-0600D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-24
F-0609D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-24
2024-05-02Health inspectionComplaint-triggered1 citation
F-0689D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-25
2024-03-11Health inspectionComplaint-triggered2 citations
F-0684D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-27
F-0760D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-03-27
2024-02-10Health inspectionComplaint-triggered2 citations
F-0657D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-25
F-0693D · No harm foundFrom a complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-02-25
2024-01-31Health inspectionComplaint-triggered3 citations
F-0610D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-02-21
F-0659D · No harm foundFrom a complaint
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2024-02-21
F-0755E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-21
2023-11-15Health inspectionComplaint-triggered8 citations
F-0582D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-12-08
F-0677D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-08
F-0689D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-08
F-0730F · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-08
F-0758E · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-12-08
F-0761E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-12-08
F-0880D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
F-0947F · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-12-08
2023-09-22Health inspectionComplaint-triggered3 citations
F-0550D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-25
F-0686G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-04
F-0689D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-25
2023-09-08Health inspectionComplaint-triggered5 citations
F-0623D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-01
F-0686E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-29
F-0693E · No harm foundFrom a complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-09-29
F-0842D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-29
F-0919E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-09-29
2022-09-14Health inspection34 citations
F-0550E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-10-14
F-0554D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-10-13
F-0558E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-10-13
F-0565F · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-10-13
F-0580D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-10-13
F-0600K · Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-10-13
F-0610E · No harm found
Respond appropriately to all alleged violations.
Corrected 2022-10-13
F-0644D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-10-14
F-0655D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-10-13
F-0656E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-14
F-0657E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-10-13
F-0677D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-13
F-0684E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-13
F-0689D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-13
F-0690D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-10-13
F-0692G · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-10-13
F-0695D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-13
F-0696D · No harm found
Provide appropriate care/assistance for a resident with a prosthesis.
Corrected 2022-10-13
F-0697G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-10-13
F-0727F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-10-13
F-0740H · Actual harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-10-13
F-0758D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-10-13
F-0760D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2022-10-13
F-0800E · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2022-10-13
F-0804E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-10-13
F-0812F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-13
F-0837F · No harm found
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2022-10-13
F-0865F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2022-10-13
F-0867F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-10-13
F-0868F · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-10-13
F-0880E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-10-13
F-0887D · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-10-13
F-0888F · No harm found
Ensure staff are vaccinated for COVID-19
Corrected 2022-10-13
F-0919G · Actual harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-10-13
2024-12-06Fire-safety inspection9 citations
K-0225E · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-12-17
K-0321E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-12-17
K-0345F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-17
K-0351E · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-12-17
K-0353F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-30
K-0372E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-17
K-0521F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-20
K-0712F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-17
K-0920E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-17
2023-11-15Fire-safety inspection16 citations
E-0007F · No harm found
Address patient/client population and determine types of services needed.
Corrected 2023-12-08
E-0015F · No harm found
Address subsistence needs for staff and patients.
Corrected 2023-12-08
E-0026F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2023-12-08
E-0037F · No harm found
Establish staff and initial training requirements.
Corrected 2023-12-08
E-0039F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-12-08
E-0041F · No harm found
Implement emergency and standby power systems.
Corrected 2023-12-08
K-0133F · No harm found
Install a two-hour-resistant firewall separation.
Corrected 2023-12-08
K-0321E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-08
K-0324E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-12-08
K-0346F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-12-08
K-0353F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-08
K-0354F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-12-08
K-0363E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-12-08
K-0374E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-12-08
K-0918F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-08
K-0920F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-08
2022-09-14Fire-safety inspection16 citations
E-0018F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-09-28
E-0024F · No harm found
Establish policies and procedures for volunteers.
Corrected 2022-09-28
E-0033F · No harm found
Establish methods for sharing information.
Corrected 2022-09-28
E-0034F · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2022-09-28
E-0035F · No harm found
Provide family notifications of emergency plan.
Corrected 2022-09-28
K-0293F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2022-10-04
K-0345F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-04
K-0353F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-04
K-0355F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-10-04
K-0363E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-10-04
K-0531F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-01-15
K-0712F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2022-10-04
K-0761E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-10-04
K-0914F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-10-04
K-0918F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-04
K-0927E · No harm found
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2022-10-04
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145439.