All citations for Dept of State Hospitals - Metropolitan SNF

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 Dept of State Hospitals - Metropolitan SNF

Last standard health inspection on record

December 8, 2025

Showing 1 to 25 of 73 citations

  1. Immediate jeopardy to resident health or safety

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Widespread (many residents). CMS level L.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

  2. Immediate jeopardy to resident health or safety

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  3. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

  4. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  5. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  7. 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 December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  10. 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 December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  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 December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  13. 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 December 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  16. 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 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

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

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Widespread (many residents). CMS level F.

    Health citation F-0945, Infection Control Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  19. 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 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  20. 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 November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

  21. 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 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

  22. 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 November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 3, 2024).

  23. 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 December 1, 2023. Found during a standard inspection.

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

  24. 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 December 1, 2023. Found during a standard inspection.

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

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

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.