All citations for Episcopal Church Home the Gardens

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 Episcopal Church Home the Gardens

Last standard health inspection on record

April 9, 2026

Showing 1 to 25 of 25 citations

No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
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 September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of August 3, 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
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of August 3, 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.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 3, 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
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of August 3, 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
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 3, 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
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 3, 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 smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 3, 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 properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of August 3, 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 properly constructed and protected linen or trash chutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0541, Services Deficiencies. Inspection of August 3, 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
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 3, 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
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 3, 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 3, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 15, 2023).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 3, 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 proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 3, 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 April 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2026).
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 September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 30, 2024).
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 August 3, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 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.