All citations for Embassy of Hearthside

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 Embassy of Hearthside

Last standard health inspection on record

February 20, 2026

Showing 26 to 50 of 109 citations

  1. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  3. 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 February 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of February 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  5. 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 February 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

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

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 9, 2026).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

  10. 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 March 14, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  13. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  14. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  17. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  18. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

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

    Health citation F-0772, Administration Deficiencies. Inspection of November 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

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

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2024).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2024).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2024).

  25. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 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.