All citations for Envive of Sullivan

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 Envive of Sullivan

Last standard health inspection on record

June 2, 2025

Showing 26 to 43 of 43 citations

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of October 25, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 23, 2023).

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

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

    Health citation F-0940, Administration Deficiencies. Inspection of October 25, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 23, 2023).

  3. 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 October 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

  4. 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 February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Give residents a notice of rights, rules, services and charges.

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

    Health citation F-0572, Resident Rights Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  11. No harm, with potential for minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

  12. No harm, with potential for minimal harm

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0300, Egress Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2024).

  13. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

  14. No harm, with potential for minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

  15. No harm, with potential for minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

  16. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

  17. No harm, with potential for minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

  18. No harm, with potential for minimal harm

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 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.