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 12 of 12 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2024).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

  6. 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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

  7. 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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

  8. 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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of March 28, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

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

    Have properly sized and located compartments to protect residents from smoke.

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

    Fire safety citation K-0371, Smoke Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

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

    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 D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

  12. 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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 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.