All citations for Hazel Hawkins Memorial Hospital D/P SNF

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 Hazel Hawkins Memorial Hospital D/P SNF

Last standard health inspection on record

September 19, 2025

Showing 1 to 25 of 60 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 September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Widespread (many residents). CMS level F.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of March 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2024).

  5. 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 March 19, 2024. Found during a standard inspection.

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

  6. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

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

  7. 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 September 19, 2025. Found during a standard inspection.

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

  8. 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 19, 2025. Found during a standard inspection.

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

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

  11. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  12. 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 March 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  13. 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 19, 2024. Found during a standard inspection.

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

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 19, 2024. Found during a standard inspection.

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

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 19, 2024. Found during a standard inspection.

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

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 19, 2024. Found during a standard inspection.

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

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 25, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 19, 2023).

  18. 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 June 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2022).

  19. 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 June 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2022).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

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

  22. 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 September 19, 2025. Found during a standard inspection.

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

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

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

  24. 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 September 19, 2025. Found during a standard inspection.

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

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of September 19, 2025. Found during a standard inspection.

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

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.