All citations for Circle of Care

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.

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Last standard health inspection on record

April 9, 2025

Showing 1 to 25 of 25 citations

  1. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level L.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  3. 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

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 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 April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  6. 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 April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  8. 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 April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.

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

    Health citation F-0714, Nursing and Physician Services Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Have proper power supply for life support equipment.

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

    Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    A waiver was granted (January 31, 2026).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  15. 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 April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  17. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  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 April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  19. 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 April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  22. 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 April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of April 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  24. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  25. No harm, with potential for 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 B.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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.