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 41 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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 June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  13. 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 June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  14. 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 June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  15. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  16. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  17. 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 June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

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

  19. 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 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

    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 February 18, 2026. Found during a complaint inspection.

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

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

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

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

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

  23. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

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

  24. 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 September 17, 2025. Found during a complaint inspection.

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 17, 2025. Found during a complaint inspection.

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

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.