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Inspection history (15)

• July 24, 2025 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• July 24, 2025 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• July 24, 2025 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• July 24, 2025 · D

  Citation F0814

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0814 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2025-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• July 24, 2025 · D

  Citation F0638

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0638 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2025-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• July 24, 2025 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• July 24, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-07-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• July 24, 2025 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2025-07-24 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2025-07-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-24.GOV

• February 5, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-02-05 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-05.GOV

• February 5, 2024 · B

  Citation F0640

  Federal surveyors cited this nursing home on 2024-02-05 under CMS tag F0640 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. The deficiency was recorded as corrected on 2024-02-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-05.GOV

• February 5, 2024 · D

  Citation F0732

  Federal surveyors cited this nursing home on 2024-02-05 under CMS tag F0732 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-02-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-05.GOV

• February 5, 2024 · B

  Citation F0623

  Federal surveyors cited this nursing home on 2024-02-05 under CMS tag F0623 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-02-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-05.GOV

• October 28, 2021 · D

  Citation F0808

  Federal surveyors cited this nursing home on 2021-10-28 under CMS tag F0808 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2021-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-28.GOV

• October 28, 2021 · B

  Citation F0637

  Federal surveyors cited this nursing home on 2021-10-28 under CMS tag F0637 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2021-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-28.GOV

• October 28, 2021 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2021-10-28 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2021-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-28.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.61 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: Actors Fund Of America

   parent · PAC 6103995873