All citations for Bishop Spencer Place, Inc, the

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 Spencer Place, Inc, the

Last standard health inspection on record

January 9, 2026

Showing 1 to 25 of 46 citations

Immediate jeopardy to resident health or safety
Ensure that residents are free from significant medication errors.
Isolated (one or a few residents). CMS level J.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 29, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 25, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2026).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Widespread (many residents). CMS level F.
Health citation F-0881, Infection Control Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2026).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
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 January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
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 February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
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 February 6, 2024. Found during a standard inspection.
A waiver was granted.
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 February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
A waiver was granted.
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
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 February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pattern (more than a few residents). CMS level E.
Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
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 January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 23, 2026).
No harm, with potential for more than minimal harm
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Pattern (more than a few residents). CMS level E.
Health citation F-0569, Resident Rights Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
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 February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 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.