All citations for Gregory Wing of St Andrews Village

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 Gregory Wing of St Andrews Village

Last standard health inspection on record

August 15, 2025

Showing 1 to 25 of 44 citations

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Widespread (many residents). CMS level F.

    Health citation F-0909, Environmental Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  4. 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 August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  5. 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 August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  9. 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 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

  11. 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 May 4, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2022).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  13. 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 August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

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

    Create arrangements with other facilities to receive patients.

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

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

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

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  20. 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 August 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  21. 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 May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

  24. 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 May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

  25. 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 May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 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.