All citations for Bailey-Boushay House

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 Bailey-Boushay House

Last standard health inspection on record

May 5, 2025

Showing 1 to 25 of 36 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 May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  2. 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 May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2025).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2025).

  4. 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 May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2025).

  5. 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 May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2025).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

  12. 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 May 20, 2024. Found during a standard inspection.

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

  13. 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 May 20, 2024. Found during a standard inspection.

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

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

  17. 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 May 20, 2024. Found during a standard inspection.

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

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2023).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

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

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2023).

  24. 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 March 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Meet the requirements of an integrated health system.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0042, Emergency Preparedness Deficiencies. Inspection of March 1, 2023. Found during a standard inspection.

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