All citations for Eaton Creek 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 Eaton Creek Post Acute

Last standard health inspection on record

March 4, 2026

Showing 1 to 25 of 29 citations

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2026).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

  3. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2026).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

  9. 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 March 4, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

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

    Include a process for Emergency Preparedness collaboration.

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

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

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

    Provide primary/alternate means for communication.

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

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  15. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  18. 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 August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  19. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

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

    Provide properly sized and located linen or trash receptacles.

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

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  21. 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.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  22. 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 August 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  23. 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 May 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2019).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2019).

  25. 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 May 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 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.