All citations for Bishop Drumm Retirement Center

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 Bishop Drumm Retirement Center

Last standard health inspection on record

July 21, 2025

Showing 1 to 25 of 96 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  2. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

  3. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 16, 2025).

  4. Harm to a resident

    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.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2025).

  5. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2025).

  6. 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 April 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2025).

  7. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2024).

  8. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  9. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

  10. 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 February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of September 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 16, 2025).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2025).

  14. 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 July 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2025).

  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 September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  16. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

  20. 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 July 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2025).

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

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

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2025).

  22. 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 April 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 9, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 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.