All citations for Gundersen St Elizabeth's Care Center

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 Gundersen St Elizabeth's Care Center

Last standard health inspection on record

June 10, 2026

Showing 1 to 15 of 15 citations

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  2. 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 May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2025).

  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 May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  6. 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 April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  7. 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 April 4, 2024. Found during a standard inspection.

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

  8. 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 April 4, 2024. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

  11. 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 June 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  12. No harm, with potential for minimal harm

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2025).

  13. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 21, 2025. Found during a standard inspection.

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

  14. No harm, with potential for minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

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

  15. No harm, with potential for minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.