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 51 to 74 of 74 citations

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, 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).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

  3. 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 February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

  6. 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 February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

  9. 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 February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, 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).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, 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).

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

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

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

    Fire safety citation K-0355, 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).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, 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).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, 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).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 25, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

  19. 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 February 25, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 25, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

  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 February 25, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of February 25, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2021).

  23. 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 February 25, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2021).

  24. No harm, with potential for minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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

    Health citation F-0577, Resident Rights 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.