All citations for Complete Care at Orange Park

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 Orange Park

Last standard health inspection on record

September 24, 2025

Showing 1 to 22 of 22 citations

  1. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  2. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

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

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

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

  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 September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

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

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2025).

  8. 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 May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

    Install properly constructed and protected linen or trash chutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0541, Services Deficiencies. Inspection of May 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

    Provide at least two remote exits on each floor or fire section of the building.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0252, Egress Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    A waiver was granted (May 12, 2022).

  11. 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 February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2022).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2022).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2022).

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

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

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  16. 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 February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2022).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2022).

  18. 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 February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2022).

  19. 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 February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2022).

  20. 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 February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2022).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 2022).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 13, 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.