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 25 of 37 citations

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

  4. 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 April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

  5. 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 January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    A waiver was granted (February 3, 2025).

  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 January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    The home gave a date the problem would be corrected (February 3, 2025).

  9. 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).

  10. 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.

  11. 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).

  12. 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).

  13. 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).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

  15. 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 April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

  16. 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 April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

  17. 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 April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

  23. 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 January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

  24. 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 January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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.