All citations for Cathedral 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 Cathedral Health Care Center

Last standard health inspection on record

July 24, 2025

Showing 1 to 25 of 29 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  5. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  6. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  7. 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 11, 2023. Found during a standard inspection.

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

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  9. 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 September 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  11. 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 September 11, 2023. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  13. 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 September 11, 2023. Found during a standard inspection.

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

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

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

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

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

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

    Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of August 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

  16. 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 January 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  18. 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 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  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 September 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  20. 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 September 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  21. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  22. 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 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  23. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  24. No harm, with potential for minimal harm

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

  25. No harm, with potential for minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of September 11, 2023. Found during a standard inspection.

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

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.