All citations for AHMC Seton Medical Center

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 AHMC Seton Medical Center

Last standard health inspection on record

August 15, 2025

Showing 1 to 25 of 39 citations

Harm to a resident
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level H.
Health citation F-0584, Resident Rights Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2022).
Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2022).
Harm to a resident
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Isolated (one or a few residents). CMS level G.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Widespread (many residents). CMS level F.
Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2022).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Widespread (many residents). CMS level F.
Health citation F-0919, Environmental Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2022).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pattern (more than a few residents). CMS level E.
Health citation F-0550, Resident Rights Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2022).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pattern (more than a few residents). CMS level E.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 20, 2022).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Pattern (more than a few residents). CMS level E.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2022).
No harm, with potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Pattern (more than a few residents). CMS level E.
Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 29, 2022).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Pattern (more than a few residents). CMS level E.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2022).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Pattern (more than a few residents). CMS level E.
Health citation F-0867, Administration Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2022).
No harm, with potential for more than minimal harm
Keep all essential equipment working safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0908, Environmental Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 28, 2022).
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 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 28, 2022).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0558, Resident Rights Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2022).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Isolated (one or a few residents). CMS level D.
Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2022).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Isolated (one or a few residents). CMS level D.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Isolated (one or a few residents). CMS level D.
Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Isolated (one or a few residents). CMS level D.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2022).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level D.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 15, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2022).

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.