All citations for Ascension Living Carroll Manor

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 Ascension Living Carroll Manor

Last standard health inspection on record

September 25, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 26 to 50 of 71 citations

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.

    No plan of correction on record.

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

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

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.

    No plan of correction on record.

  3. 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.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of January 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2026).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

  6. 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 September 25, 2024. Found during a standard inspection and a complaint inspection.

    No plan of correction on record.

  7. 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 September 25, 2024. Found during a standard inspection and a complaint inspection.

    No plan of correction on record.

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 11, 2025).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 11, 2025).

  10. 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 September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

  12. 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 September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

  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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Provide routine and 24-hour emergency dental care for each resident.

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

    Health citation F-0790, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

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

    Health citation F-0836, Administration Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 11, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of September 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 30, 2023. Found during a standard inspection.

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

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of May 30, 2023. Found during a standard inspection.

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

  25. 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 May 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 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.