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Inspection findings

1. Sep 24, 2025 Health · 3 findings
   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 18, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 18, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Dec 18, 2025 · CMS fire safety

2. Jan 23, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jan 26, 2025 · CMS health inspection

3. Jun 20, 2024 Health · 5 findings
   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 20, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Jul 12, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jul 12, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jul 12, 2024 · CMS fire safety

4. Jun 14, 2023 Health · 10 findings
   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Jul 14, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 drugs.

     Corrected Jul 14, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jul 14, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Jul 6, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0222 Egress Deficiencies

     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 Jul 6, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Jul 6, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jul 6, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Jul 6, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jul 6, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jul 6, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ALBRIGHTSON, LANCE — corporate officer, NOT APPLICABLE, since 11/01/2024
• FIELD, THOMAS — operational/managerial control, NOT APPLICABLE, since 10/01/2017
• FIELD, THOMAS — adp of the snf, NOT APPLICABLE, since 10/01/2018
• JACOBSEN, GREG — corporate officer, NOT APPLICABLE, since 01/01/2021
• KNEGENDORF, LARRY — corporate officer, NOT APPLICABLE, since 01/01/2021
• STENE, SUE — corporate director, NOT APPLICABLE, since 01/01/2021
• WALTHALL, MELISSA — corporate officer, NOT APPLICABLE, since 03/01/1997
• WALTHALL, MELISSA — adp of the snf, NOT APPLICABLE, since 02/05/2025