ACCESS MENTAL HEALTH
State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-12-10 — IMMEDIATE JEOPARDY (tag F0740, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2025-01-15 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2024-10-10 — IMMEDIATE JEOPARDY (tag F0604, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2024-10-10 — IMMEDIATE JEOPARDY (tag F0742, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
2024-02-01 — ACTUAL HARM (tag F0741, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
2024-02-01 — 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.
2024-01-16 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-01-16 — IMMEDIATE JEOPARDY (tag F0609, severity L)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Staffing, from payroll records
Nursing hours / resident / day
1.94
state median 3.05
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −6%
RN hours / resident / day
0.52
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
26%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $122,551 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-10 | Fine | $22,320 |
| 2025-06-23 | Fine | $64,643 |
| 2025-06-23 | Payment Denial | payment denial |
| 2025-01-15 | Fine | $35,588 |
| 2024-01-16 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-06-03 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-06-03 | F0814 | Nutrition and Dietary Deficiencies | C | not recorded |
| 2025-12-10 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-12-10 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-10 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-10 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-10 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-10 | F0740 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-12-10 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-06-23 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-23 | F0636 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-06-23 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-06-23 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-23 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-23 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-06-23 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-06-23 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-06-23 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2025-01-15 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-15 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-15 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-15 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-15 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-15 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-15 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-15 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-01-15 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-15 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-15 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-15 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-15 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-15 | F0801 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-01-15 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-01-15 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2025-01-15 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2024-10-10 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-10-10 | F0742 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-02-01 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-02-01 | F0741 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-01 | F0835 | Administration Deficiencies | F | not recorded |
| 2024-02-01 | F0867 | Administration Deficiencies | F | not recorded |
| 2024-01-16 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-01-16 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2024-01-16 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2024-01-16 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |