All citations for Inspire Behavioral Health

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 Inspire Behavioral Health

Last standard health inspection on record

November 5, 2025

Showing 26 to 50 of 67 citations

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

    Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

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

    Health citation F-0920, Environmental Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2024).

  2. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

  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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

  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 November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2021).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2021).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of November 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2025).

  12. 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 November 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2025).

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

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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

    Health citation F-0808, Nutrition and Dietary Deficiencies. Inspection of November 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2025).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of November 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 5, 2025. Found during a standard inspection.

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

  16. 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 January 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

  17. 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 September 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 2, 2024).

  19. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2024).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

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

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2024).

  22. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

  24. 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 July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of November 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2021).

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.