All citations for Brethren Care Village Health Care Center

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 Brethren Care Village Health Care Center

Last standard health inspection on record

June 25, 2026

Showing 1 to 20 of 20 citations

  1. 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 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2026).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 10, 2026).

  3. 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 September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2022).

  4. 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 September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2022).

  5. 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 June 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2026).

  6. 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 September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2022).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2022).

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

    Meet requirements for the use and maintenance of medical gas equipment.

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

    Fire safety citation K-0922, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2022).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of June 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 10, 2026).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of September 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2022).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

  18. 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 September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

  20. 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 September 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2019).

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.