All citations for Addolorata Villa

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Addolorata Villa

Last standard health inspection on record

January 15, 2026

Showing 1 to 21 of 21 citations

  1. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    A waiver was granted (February 24, 2025).

  2. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

  3. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2024).

  4. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2024).

  5. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2023).

  6. No harm, with potential for more than minimal harm

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2023).

  7. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  8. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    A waiver was granted (February 24, 2025).

  9. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  10. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  11. No harm, with potential for more than minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0531, Services Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2025).

  12. No harm, with potential for more than minimal harm

    Provide properly sized and located linen or trash receptacles.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  13. No harm, with potential for more than minimal harm

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0929, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  14. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

  15. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  16. No harm, with potential for more than minimal harm

    Install a two-hour-resistant firewall separation.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2023).

  17. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 17, 2023).

  18. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 17, 2023).

  19. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2023).

  20. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2023).

  21. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 17, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.