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 26 to 46 of 46 citations

  1. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  2. 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 February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

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

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

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

    Fire safety citation K-0343, 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).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, 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).

  5. 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 February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of July 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2022).

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

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

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

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of July 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2022).

  8. 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 July 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2022).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, 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).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, 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).

  11. 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 January 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  12. 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 January 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of January 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Meet requirements for the installation and maintenance of electrical systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0911, 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).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2024).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  17. 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 February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  18. 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 February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

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

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0929, 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).

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

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2022).

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.