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 26 to 50 of 68 citations

  1. 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).

  2. 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).

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

    Assure the security of all personal funds of residents deposited with the facility.

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

    Health citation F-0570, Resident Rights Deficiencies. Inspection of May 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2022).

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

    Report COVID19 data to residents and families.

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

    Health citation F-0885, Infection Control Deficiencies. Inspection of May 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2022).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2022).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of June 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.