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 26 to 50 of 55 citations

  1. 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.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

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

  2. 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.

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

    Health citation F-0625, Resident Rights 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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning 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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning 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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2022).

  6. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning 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

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

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

    Health citation F-0677, 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).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, 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).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, 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).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, 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).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, 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 (April 20, 2022).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 2, 2022. Found during a standard inspection.

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

  13. 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.

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

    Health citation F-0761, Pharmacy Service 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

    Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

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

    Health citation F-0811, 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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 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 October 1, 2026. Inspection results describe the home at the time of each inspection.