All citations for Childrens HC Org No Ca -Pediatric Hospital D/P SNF

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 Childrens HC Org No Ca -Pediatric Hospital D/P SNF

Last standard health inspection on record

July 26, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 34 citations

  1. 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 July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

  3. 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 July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

  4. 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 July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2024).

  5. 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 July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2024).

  6. 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 July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2024).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

  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 July 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  10. 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 July 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2022).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of October 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 22, 2019).

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

    Establish procedures for tracking staff and patients during an emergency.

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

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of October 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2019).

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

    Establish policies and procedures for volunteers.

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

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of October 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2019).

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of October 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2019).

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

    Provide a means of sharing information on occupancy/needs.

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

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of October 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2019).

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

    Provide family notifications of emergency plan.

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

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of October 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2019).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2019).

  18. 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 31, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2019).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 17, 2024).

  20. 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 July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2024).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 8, 2022. Found during a standard inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.