All citations for Baptist Homes, Tri-County

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 Baptist Homes, Tri-County

Last standard health inspection on record

March 5, 2026

Showing 1 to 25 of 111 citations

  1. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2022).

  2. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2022).

  3. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  4. Harm to a resident

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

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

  6. 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 March 5, 2026. Found during a standard inspection.

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

  7. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

  8. 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 February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

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

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

  10. 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 February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 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 February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

  13. 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 February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

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

    Meet requirements for the use of electrical equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

  15. 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 February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2022).

  17. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  19. 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 March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  20. 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 March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2022).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2022).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2022).

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2022).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2022).

  25. 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 March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 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.