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 43 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 June 27, 2024. Found during a complaint inspection.

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

  4. 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).

  5. 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).

  6. 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).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

    Health citation F-0835, Administration Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

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

  8. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 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.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

  11. 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 October 9, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (October 9, 2023).

  12. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2023).

  13. 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 June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2023).

  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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2023).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2023).

  17. 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 June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  18. 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 June 29, 2023. Found during a standard inspection.

    A waiver was granted (August 31, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

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

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

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

  21. 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 June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  22. 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 May 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  23. 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 May 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  24. 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 May 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  25. 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 February 27, 2024. Found during a complaint inspection.

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