All citations for Complete Care at Kimberly Hall-South

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 Complete Care at Kimberly Hall-South

Last standard health inspection on record

July 7, 2026

Showing 1 to 19 of 19 citations

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

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

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

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

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

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

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

  3. 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 May 23, 2022. Found during a standard inspection.

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

  4. 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 September 13, 2024. Found during a complaint inspection.

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

  5. 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 September 13, 2024. Found during a complaint inspection.

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

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 13, 2024. Found during a complaint inspection.

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

  7. 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 July 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2024).

  10. 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 19, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  11. No harm, with potential for more than 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.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

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

  12. 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 May 23, 2022. Found during a standard inspection.

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

  13. 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 May 23, 2022. Found during a standard inspection.

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

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

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

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2022).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

    The home has a plan to correct it (July 15, 2022).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

    The home has a plan to correct it (July 15, 2022).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

    The home has a plan to correct it (July 15, 2022).

  19. No harm, with potential for minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of May 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 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.