All citations for Avalon Springs Health Campus

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 Avalon Springs Health Campus

Last standard health inspection on record

January 14, 2026

Showing 1 to 25 of 39 citations

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 14, 2026. Found during a standard inspection.

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

  2. 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 14, 2026. Found during a standard inspection.

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

  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 January 14, 2026. Found during a standard inspection.

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

  4. 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 14, 2026. Found during a standard inspection.

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

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 14, 2026. Found during a standard inspection.

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

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2024).

  8. 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 December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2024).

  9. 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 January 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2026).

  10. 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 14, 2026. Found during a standard inspection.

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

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 14, 2026. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2024).

  13. 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 January 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2026).

  14. 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 January 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2026).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of January 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2026).

  16. 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 January 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2026).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  18. 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 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2025).

  19. 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 27, 2025. Found during a complaint inspection.

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

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

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

  21. 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 November 26, 2024. Found during a standard inspection.

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

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

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

  23. 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 November 26, 2024. Found during a standard inspection.

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

  24. 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 November 26, 2024. Found during a standard inspection.

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

  25. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.

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

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.