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 20 of 20 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, 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).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, 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).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

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

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

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

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

    Meet requirements for sections of health care facilities separated by fire resistive construction.

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

    Fire safety citation K-0131, Construction Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

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

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

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

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, 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).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, 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).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, 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).

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

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

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, 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).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

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

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

    Meet other general requirements.

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

    Fire safety citation K-0932, 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).

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.