All citations for Deupree Cottages

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.

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Last standard health inspection on record

July 17, 2025

Showing 1 to 25 of 26 citations

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 July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
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 July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
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 July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
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 July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
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 July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
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 November 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2023).
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 November 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2023).
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 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2023).
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 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2023).
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 August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
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 August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
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 August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
No harm, with potential for more than minimal harm
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
Widespread (many residents). CMS level F.
Fire safety citation K-0928, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
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 November 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2023).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
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 August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
No harm, with potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
No harm, with potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2023).
No harm, with potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Isolated (one or a few residents). CMS level D.
Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2023).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Isolated (one or a few residents). CMS level D.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Isolated (one or a few residents). CMS level D.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).
No harm, with potential for more than minimal harm
Provide routine and 24-hour emergency dental care for each resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0790, Quality of Life and Care Deficiencies. Inspection of August 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2019).

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.