All citations for Carroll House

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 Carroll House

Last standard health inspection on record

July 14, 2025

Showing 1 to 25 of 28 citations

No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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 October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Meet other general requirements that are deficient.
Widespread (many residents). CMS level F.
Fire safety citation K-0300, Egress Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Widespread (many residents). CMS level F.
Fire safety citation K-0342, Smoke Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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 October 28, 2022. Found during a standard inspection.
A waiver was granted.
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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 October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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 October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Pattern (more than a few residents). CMS level E.
Health citation F-0578, Resident Rights Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pattern (more than a few residents). CMS level E.
Health citation F-0582, Resident Rights Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Pattern (more than a few residents). CMS level E.
Health citation F-0585, Resident Rights Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0623, Resident Rights Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Pattern (more than a few residents). CMS level E.
Health citation F-0625, Resident Rights Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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 October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pattern (more than a few residents). CMS level E.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Pattern (more than a few residents). CMS level E.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0271, Egress Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
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 October 28, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2022).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 26, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 9, 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.