All citations for Complete Care at Nazareth LLC

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 Nazareth LLC

Last standard health inspection on record

April 2, 2026

Showing 1 to 22 of 22 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  3. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2024).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    No plan of correction on record.

  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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2024).

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  10. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

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

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  14. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  16. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

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

    Fire safety citation K-0132, Construction Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  18. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  19. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  20. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  21. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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.