Inspection safety
30/30
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20.5/30
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.04 total nurse hours per resident per day (national median 3.77)
- →0.86 RN hours per resident per day
- →Weekend staffing drops 16% against weekdays
Staff stability
12/15
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →37% of nursing staff left in the last year
Resident outcomes
9/15
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$4,558 in federal fines across 1 action(s)
Last standard health inspection: July 21, 2023
(3 years ago).
That inspection produced no citations — the findings below are older.
D
Feb 18, 2022
F0758
Pharmacy Service Deficiencies
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 m...
No actual harm, potential for more than minimal harm
D
Feb 18, 2022
F0759
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
Jul 11, 2019
F0580
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
D
Jul 11, 2019
F0584
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
D
Jul 11, 2019
F0641
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
Jul 11, 2019
F0657
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
D
Jul 11, 2019
F0695
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
D
Jul 11, 2019
F0761
Pharmacy Service Deficiencies
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...
No actual harm, potential for more than minimal harm