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 76 to 100 of 111 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

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

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

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

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

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

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

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

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

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

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

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

  20. 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 January 24, 2025. Found during a complaint inspection.

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

  21. 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 January 24, 2025. Found during a complaint inspection.

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

  22. 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 January 24, 2025. Found during a complaint inspection.

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

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

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

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

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

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

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