WINNING WHEELS
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-02-05 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-05-27 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-01 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-02 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2023-08-01 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
3.63
state median 3.09
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.40
registered nurses only
Contract (agency) staff
13%
share of all nursing hours
Nursing staff turnover
51%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $12,258 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-01 | Fine | $12,258 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-05 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-02-05 | F0925 | Environmental Deficiencies | F | not recorded |
| 2026-01-27 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-21 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-12-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-12-21 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-07-23 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-07-23 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-23 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-23 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-23 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-23 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-23 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-23 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-23 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-07-23 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-07-23 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-07-23 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-23 | F0925 | Environmental Deficiencies | D | not recorded |
| 2025-05-27 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-05-20 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-13 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-01-07 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-07 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-23 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-13 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-13 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-13 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-13 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-13 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-13 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-13 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-13 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-13 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-13 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-06-13 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-05-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-01 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-01 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-01 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-11-02 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-11-02 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-11-02 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-11-02 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-08-17 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2023-08-17 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-17 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-08-17 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-08-17 | F0919 | Environmental Deficiencies | D | not recorded |
| 2023-08-17 | F0925 | Environmental Deficiencies | F | not recorded |
| 2023-08-01 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-08-01 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-07-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |