All citations for Jefferson Health Care

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 Jefferson Health Care

Last standard health inspection on record

April 4, 2025

Showing 1 to 25 of 89 citations

  1. Immediate jeopardy to resident health or safety

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 3, 2026).

  2. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 18, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

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

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

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

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

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

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of April 4, 2025. Found during a standard inspection.

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

  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, 2025. Found during a standard inspection.

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

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

  9. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

  10. 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 September 22, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

  12. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

  14. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

  15. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

  17. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Widespread (many residents). CMS level F.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of October 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2022).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of October 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2022).

  21. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2022).

  22. 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 October 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2022).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2022).

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of October 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2022).

  25. 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 October 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2022).

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.