All citations for Carolton Chronic & Convalescent Hospital Inc

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 Carolton Chronic & Convalescent Hospital Inc

Last standard health inspection on record

April 8, 2025

Showing 1 to 25 of 74 citations

No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2025).
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 April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2025).
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 April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2025).
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 February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2023).
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 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2023).
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 February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2025).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pattern (more than a few residents). CMS level E.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 8, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 18, 2025).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Pattern (more than a few residents). CMS level E.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 8, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 18, 2025).
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 April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2025).
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 April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2025).
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 April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2025).
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 April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2025).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Pattern (more than a few residents). CMS level E.
Health citation F-0882, Infection Control Deficiencies. Inspection of April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 18, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2025).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pattern (more than a few residents). CMS level E.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Pattern (more than a few residents). CMS level E.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pattern (more than a few residents). CMS level E.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
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 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
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 February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Pattern (more than a few residents). CMS level E.
Health citation F-0881, Infection Control Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2023).
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 February 25, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2020).
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 25, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2020).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pattern (more than a few residents). CMS level E.
Health citation F-0883, Infection Control Deficiencies. Inspection of February 25, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2020).

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.