All citations for Delta Oaks Post Acute

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 Delta Oaks Post Acute

Last standard health inspection on record

October 2, 2025

Showing 1 to 21 of 21 citations

  1. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  6. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  7. 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 July 20, 2023. Found during a standard inspection.

    A waiver was granted (September 19, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  9. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  10. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  11. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  12. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  13. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  17. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  18. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  19. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

  21. 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 July 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 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.