All citations for BHM Carrollton Opco Inc

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 BHM Carrollton Opco Inc

Last standard health inspection on record

April 9, 2026

Showing 26 to 43 of 43 citations

  1. 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 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

  2. 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 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of March 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

  4. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of March 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of March 20, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

  9. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

  11. 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 December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

  13. 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 December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

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

    Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.

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

    Fire safety citation K-0224, Egress Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

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

    Have properly sized and located compartments to protect residents from smoke.

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

    Fire safety citation K-0371, Smoke Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

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.