All citations for Hermitage Healthcare (The)

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 Hermitage Healthcare (The)

Last standard health inspection on record

August 20, 2025

Showing 1 to 17 of 17 citations

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

  3. 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Report COVID19 data to residents and families.

    Widespread (many residents). CMS level F.

    Health citation F-0885, Infection Control Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Perform COVID19 testing on residents and staff.

    Widespread (many residents). CMS level F.

    Health citation F-0886, Infection Control Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

  10. 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

  11. 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

  14. 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

  15. 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

  17. 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 17, 2023).

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.