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 13 of 13 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

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.