All citations for German Center for Extended Care

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 German Center for Extended Care

Last standard health inspection on record

September 4, 2025

Showing 1 to 25 of 43 citations

No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2025).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2025).
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 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2025).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.
A waiver was granted (December 2, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.
A waiver was granted (December 2, 2024).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 27, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 10, 2024).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 12, 2024).
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 30, 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
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 15, 2024).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Widespread (many residents). CMS level F.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 2023).
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.
Widespread (many residents). CMS level F.
Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 14, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 3, 2023).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 10, 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 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 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 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
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 August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Pattern (more than a few residents). CMS level E.
Health citation F-0585, Resident Rights Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 30, 2024).
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 August 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 30, 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.