All citations for Champlain Valley Physicians Hosp Med Ctr S N F

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 Champlain Valley Physicians Hosp Med Ctr S N F

Last standard health inspection on record

January 17, 2025

Showing 1 to 25 of 32 citations

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  3. 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 January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

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

    Fire safety citation K-0929, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

  10. 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 October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

  11. 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.

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

    Health citation F-0867, Administration Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

  12. 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 October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

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

    Ensure medical gas and vacuum systems have documented maintenance programs.

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

    Fire safety citation K-0907, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

  15. 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 December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2020).

  16. 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 December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2020).

  17. 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 December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2020).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2020).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2020).

  20. 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 January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  21. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

  22. 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 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

  24. 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 January 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

  25. 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 July 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 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.