All citations for Delavan Health Services

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 Delavan Health Services

Last standard health inspection on record

December 19, 2024

Showing 1 to 18 of 18 citations

  1. 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 September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

  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 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

  5. 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 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Have restrictions on the use of highly flammable decorations.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

  10. 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 September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  13. 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 September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Have correct number of accessible exits for each story.

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

    Fire safety citation K-0241, Egress Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    A waiver was granted (October 25, 2023).

  15. 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 September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

  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 September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

  18. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2023).

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.