All citations for Henderson County Ret 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 Henderson County Ret Center

Last standard health inspection on record

April 2, 2025

Showing 1 to 19 of 19 citations

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 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 April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  3. 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 April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  4. 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 April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2024).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2023).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  9. 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 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

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

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

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

  12. 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 May 10, 2024. Found during a standard inspection.

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

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2023).

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

    Ensure operating rooms are properly protected and written records are maintained and available for inspection.

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

    Fire safety citation K-0913, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2023).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2024).

  16. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2024).

  17. 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 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  18. 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 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  19. 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 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2023).

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.