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 26 to 44 of 44 citations

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, 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).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

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

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

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

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

    Health citation F-0695, Quality of Life and Care 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 (August 1, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

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

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

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

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

    Establish procedures for tracking staff and patients during an emergency.

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

    Emergency preparedness citation E-0018, 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).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, 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).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

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

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

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

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

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

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of May 4, 2022. Found during a standard inspection.

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

  14. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 4, 2022. Found during a standard inspection.

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

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 4, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 4, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  17. No harm, with potential for minimal harm

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 4, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  18. No harm, with potential for minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of May 15, 2024. Found during a standard inspection.

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

  19. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 4, 2022. Found during a standard inspection.

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