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.

Back to Double Tree Post Acute Care Center

Last standard health inspection on record

January 23, 2026

Showing 1 to 25 of 37 citations

No harm, with potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Widespread (many residents). CMS level F.
Health citation F-0925, Environmental Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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 August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
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 August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 17, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pattern (more than a few residents). CMS level E.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 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 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pattern (more than a few residents). CMS level E.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Pattern (more than a few residents). CMS level E.
Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 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.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Pattern (more than a few residents). CMS level E.
Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Keep all essential equipment working safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0908, Environmental Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pattern (more than a few residents). CMS level E.
Health citation F-0921, Environmental Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
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 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
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 August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
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 August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2023).
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 December 28, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 28, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0550, Resident Rights Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Isolated (one or a few residents). CMS level D.
Health citation F-0578, Resident Rights Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 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.