Nursing homeFAID #12761
Crystal Cove Post Acute
1505 CARPENTER ROAD SE, LACEY, WA, 98503
(360) 491-1765
96 licensed beds
Public record summary
What we can show you for free.
Bed capacity
96
CMS facility ID
505254
Care type
Nursing home
County
Thurston
Facility name
Crystal Cove Post Acute
Street address
1505 CARPENTER ROAD SE
City / state / ZIP
Lacey, WA 98503
Phone
(360) 491-1765
About this facility — Crystal Cove Post Acute
Crystal Cove Post Acute is a Medicare/Medicaid-certified skilled nursing facility in Lacey, Washington. It is licensed for 96 beds — close to the median for skilled nursing facilities in Washington (97 beds).
It is one of 25 senior care facilities in Lacey and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Crystal Cove Post Acute 168 times across 26 inspections in the last three years, including 13 food-safety citations, and CMS has imposed $235,475 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Limited Liability company
Registered owners & officers
Anderson, Brandt
Operational control · Additional disclosable party — since 2022
Berihun, Achashman
Operational control · Additional disclosable party — since 2020
Bracy, Mckennzie
Operational control · Additional disclosable party — since 2020
De Oro, Brianna
Operational control · Additional disclosable party — since 2025
Foundation Resource Center Llc
Operational control · Additional disclosable party — since 2020
Frost, Steven
Officer · Operational control · Additional disclosable party — since 2020
Johnson, Chateau
Operational control · Additional disclosable party — since 2024
Lindahl, David
Additional disclosable party — since 2020
Lindahl, Jeffrey
Officer · Operational control · Additional disclosable party — since 2019
Lindahl, Kirkman
Officer · Operational control · Additional disclosable party — since 2019
Lindahl, Scott
Officer · Operational control · Additional disclosable party — since 2019
Maina, John
Operational control · Additional disclosable party — since 2025
Nwankwo, Chukwuemeka
Operational control · Additional disclosable party — since 2025
Wa1west Llc
Additional disclosable party — since 2020
Zwahlen, Jay
Operational control · Additional disclosable party — since 2024
Regulatory standing
Licensed / certified since
1980-04-01
Health deficiencies
43 at the last standard inspection
Federal fines
$235,475 total
Last standard inspection
2026-01-13
Nurse staffing
3.8 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$421 per day (≈ $12,800/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
73% Medicaid · 12% Medicare · 16% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
12% below the WA median of $480/day — full state cost breakdown
Services & coverage
Licensed beds
96
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 13 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-22Health inspectionComplaint-triggered3 citations
F-0584
E · 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 2026-06-26
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-26
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-06-26
2026-06-10Health inspectionComplaint-triggered1 citation
F-0851
D · No harm foundFrom a complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2026-06-18
23 earlier / fire-safety inspections (164 citations)
2026-06-02Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-17
2026-03-12Health inspectionComplaint-triggered2 citations
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-04-10
F-0688
D · No harm foundFrom a complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2026-04-10
2026-01-13Health inspectionComplaint-triggered28 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-03-06
F-0565
D · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2026-03-06
F-0569
D · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2026-03-06
F-0584
E · No harm found
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 2026-03-06
F-0605
E · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-03-06
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2026-03-06
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-03-06
F-0656
E · 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 2026-03-06
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-06
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-03-06
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-06
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-03-06
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-03-06
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-03-06
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-03-06
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2026-03-06
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-03-06
F-0761
E · 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 2026-03-06
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2026-03-06
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2026-03-06
F-0809
E · No harm foundFood safetyFrom a complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2026-03-06
F-0812
D · 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 2026-03-06
F-0847
D · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2026-03-06
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2026-03-06
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-06
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2026-03-06
F-0887
E · 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 2026-03-06
F-0947
D · 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 2026-03-06
2026-01-02Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-22
2025-12-05Health inspectionComplaint-triggered2 citations
F-0584
D · 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 2025-12-24
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-24
2025-08-22Health inspectionComplaint-triggered6 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-06
F-0802
F · No harm foundFood safetyFrom a complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-10-06
F-0803
D · No harm foundFood safetyFrom a complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-10-06
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-06
F-0835
E · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-10-06
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-10-06
2025-07-16Health inspectionComplaint-triggered1 citation
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-18
2025-06-27Health inspectionComplaint-triggered1 citation
F-0755
D · 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 2025-08-15
2025-03-12Health inspectionComplaint-triggered1 citation
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-03-31
2025-02-07Health inspectionComplaint-triggered2 citations
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-31
F-0693
D · 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 2025-03-31
2025-02-06Health inspection45 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-31
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-03-31
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-03-31
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-03-31
F-0568
E · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-03-31
F-0569
D · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-03-31
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-31
F-0584
E · No harm found
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 2025-03-31
F-0585
E · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-03-31
F-0604
E · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-31
F-0622
D · No harm found
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-03-31
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-31
F-0625
E · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-03-31
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-03-31
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-03-31
F-0656
E · 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 2025-03-31
F-0657
E · 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 2025-03-31
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-31
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-31
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-03-31
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-31
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2025-03-31
F-0688
E · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-03-31
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-31
F-0690
D · 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 2025-03-31
F-0692
G · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-31
F-0694
E · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-03-31
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-31
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-31
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-31
F-0726
F · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-03-31
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-03-31
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-03-31
F-0758
E · 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 2025-03-31
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-31
F-0761
E · 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 2025-03-31
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-03-31
F-0808
E · No harm foundFood safety
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-03-31
F-0837
F · 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 2025-03-31
F-0847
E · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-03-31
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-03-31
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-31
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-31
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-03-31
F-0887
D · 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 2025-03-31
2024-12-26Health inspectionComplaint-triggered2 citations
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-31
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-31
2024-09-24Health inspectionComplaint-triggered1 citation
F-0755
E · 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 2024-10-09
2024-08-19Health inspectionComplaint-triggered2 citations
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-30
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-30
2024-07-16Health inspectionComplaint-triggered2 citations
F-0580
D · 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 2024-08-15
F-0690
D · No harm foundFrom a complaint
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 2024-08-15
2024-05-14Health inspectionComplaint-triggered1 citation
F-0622
D · No harm foundFrom a complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-05-25
2024-04-26Health inspectionComplaint-triggered3 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-05-08
F-0744
D · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-05-08
F-0926
E · No harm foundFrom a complaint
Have policies on smoking.
Corrected 2024-05-08
2024-03-11Health inspection29 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-25
F-0561
E · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-04-25
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-04-25
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-04-25
F-0584
E · No harm found
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 2024-04-25
F-0585
D · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-04-25
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-04-25
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-04-25
F-0644
E · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-04-25
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-04-25
F-0655
E · 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 2024-04-25
F-0657
E · 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 2024-04-25
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-25
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-25
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-25
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-25
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2024-04-25
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-25
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-25
F-0727
D · 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 2024-04-25
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-25
F-0758
E · 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 2024-04-25
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-25
F-0761
E · 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 2024-04-25
F-0791
E · No harm found
Provide or obtain dental services for each resident.
Corrected 2024-04-25
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-25
F-0809
E · No harm foundFood safety
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2024-04-25
F-0812
E · 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 2024-04-25
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-25
2023-10-18Health inspectionComplaint-triggered3 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-11-03
F-0624
D · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-11-03
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-03
2026-01-13Fire-safety inspection5 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-01-17
K-0222
E · No harm found
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.
Corrected 2026-01-09
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-30
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-01-09
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-01-30
2025-08-22Fire-safety inspectionComplaint-triggered4 citations
K-0324
F · No harm foundFrom a complaint
Provide properly protected cooking facilities.
Corrected 2025-09-15
K-0353
D · No harm foundFrom a complaint
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-15
K-0355
D · No harm foundFrom a complaint
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-15
K-0511
D · No harm foundFrom a complaint
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-15
2025-02-06Fire-safety inspection15 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-02-26
E-0025
F · No harm found
Create arrangements with other facilities to receive patients.
Corrected 2025-02-26
E-0032
F · No harm found
Provide primary/alternate means for communication.
Corrected 2025-02-26
E-0035
F · No harm found
Provide family notifications of emergency plan.
Corrected 2025-02-26
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2025-02-26
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-02-26
K-0200
E · No harm found
Meet other general requirements.
Corrected 2025-02-26
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-26
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-26
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-02-26
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-02-26
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-26
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-26
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-26
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-02-26
2024-03-11Fire-safety inspection7 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-04-10
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-04-10
K-0222
F · No harm found
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.
Corrected 2024-04-10
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-10
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-10
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-10
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-15
Federal penalties
2026-06-02Fine$20,415
2025-12-05Fine$12,425
2024-12-26Fine$117,108
2024-07-16Fine$85,527
2025-06-27Medicare payment denial — 9 days
2024-12-26Medicare payment denial — 8 days
Total fines$235,475
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 505254.
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Inspection citations — last 5 years
LockedThe 168 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
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Federal dockets
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Original records
Sources we pull for this facility.
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CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
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pacer.uscourts.gov
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