All citations for Bishop McCarthy Center for Rehab & Healthcare

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 McCarthy Center for Rehab & Healthcare

Last standard health inspection on record

June 17, 2025

Showing 1 to 19 of 19 citations

No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0225, Egress Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
Widespread (many residents). CMS level F.
Fire safety citation K-0271, Egress Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 15, 2025).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
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 June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
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 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Ensure electrical receptacles or cover plates have distinctive color or marking.
Widespread (many residents). CMS level F.
Fire safety citation K-0917, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
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 June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
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 June 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level D.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 17, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (July 30, 2025).
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 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 2025).
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 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 30, 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.