All citations for Gracewell, An Eventide Community

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 Gracewell, An Eventide Community

Last standard health inspection on record

August 28, 2025

Showing 1 to 20 of 20 citations

  1. 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 October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 22, 2024).

  2. 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 October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 22, 2024).

  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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  4. 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 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2022).

  5. 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 July 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

  6. 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 October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2023).

  8. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2023).

  9. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2023).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  12. 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 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  13. 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 October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

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

    Meet requirements for the use and maintenance of medical gas equipment.

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

    Fire safety citation K-0922, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2023).

  16. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2023).

  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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2023).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of July 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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.