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 29 citations

  1. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  3. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  4. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  6. 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 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  8. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  11. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  15. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  16. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Have a properly installed and maintained dumbwaiter or escalator.

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

    Fire safety citation K-0532, Services Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  18. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  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 April 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

  22. 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 July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of July 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2019).

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.