All citations for Focused Care at Mount Pleasant

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 Focused Care at Mount Pleasant

Last standard health inspection on record

July 2, 2025

Showing 1 to 25 of 94 citations

  1. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level L.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  2. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 25, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 24, 2025).

  3. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

  4. Immediate jeopardy to resident health or safety

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2024).

  5. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2024).

  6. Harm to a resident

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of February 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 14, 2024).

  7. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of July 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  9. 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 July 2, 2025. Found during a standard inspection.

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

  10. 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 November 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 19, 2025).

  11. 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 November 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 19, 2025).

  12. 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.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of September 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  13. 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 July 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

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

    Fire safety citation K-0929, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 2, 2025. Found during a standard inspection.

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

  15. 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 February 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of May 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  18. 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 May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  20. 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 May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  21. 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 May 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of May 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  23. 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.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2024).

  24. 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 February 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 14, 2024).

  25. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 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.