All citations for All Saints Healthcare Subacute

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 All Saints Healthcare Subacute

Last standard health inspection on record

January 29, 2026

Showing 1 to 25 of 105 citations

  1. Immediate jeopardy to resident health or safety

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  2. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  3. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  4. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

  5. 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 January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2026).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2026).

  7. 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 October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

  13. 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.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

  16. 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 January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

  19. 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 January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2026).

  22. 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 January 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2026).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

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

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

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

    Health citation F-0847, Administration Deficiencies. Inspection of November 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  25. 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 November 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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.