All citations for Double Tree Post Acute Care Center
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.
Last standard health inspection on record
January 23, 2026
Showing 1 to 21 of 21 citations
Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (October 18, 2024).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
The home gave a date the problem would be corrected (October 18, 2024).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
The home gave a date the problem would be corrected (October 18, 2024).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (October 18, 2024).
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.
The home gave a date the problem would be corrected (October 18, 2024).
No harm, with potential for more than minimal harm
Keep all essential equipment working safely.
The home gave a date the problem would be corrected (October 18, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No follow-up visit needed (July 25, 2025).
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.
No follow-up visit needed (July 25, 2025).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
The home gave a date the problem would be corrected (November 25, 2024).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
The home gave a date the problem would be corrected (October 18, 2024).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for minimal harm
Develop Emergency Preparedness policies and procedures.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for minimal harm
Develop a communication plan.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for minimal harm
List the names and contact information of those in the facility.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for minimal harm
Establish emergency prep training and testing.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for minimal harm
Conduct testing and exercise requirements.
The home gave a date the problem would be corrected (October 9, 2024).
No harm, with potential for minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (October 9, 2024).
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.