All citations for Good Shepherd Village at Endwell

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 Good Shepherd Village at Endwell

Last standard health inspection on record

November 20, 2025

Showing 1 to 17 of 17 citations

  1. 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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2026).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2026).

  3. 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 November 20, 2025. Found during a standard inspection.

    The home has a plan to correct it.

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

    Install a two-hour-resistant firewall separation.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2024).

  5. 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 March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2024).

  6. 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 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2024).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2024).

  8. 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 November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

  9. 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 November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

  12. 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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 19, 2026).

  14. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2022).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

  16. 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 November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

  17. No harm, with potential for minimal harm

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.

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