All citations for Jerold Phelps Comm Hosp 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.
Last standard health inspection on record
September 12, 2025
Showing 1 to 25 of 61 citations
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
The home gave a date the problem would be corrected (October 30, 2025).
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.
The home gave a date the problem would be corrected (October 30, 2025).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
The home gave a date the problem would be corrected (November 26, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (November 26, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
The home gave a date the problem would be corrected (November 26, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
The home gave a date the problem would be corrected (November 26, 2025).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
The home gave a date the problem would be corrected (June 1, 2025).
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
The home gave a date the problem would be corrected (April 9, 2024).
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.
The home gave a date the problem would be corrected (April 9, 2024).
No harm, with potential for more than minimal harm
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
The home gave a date the problem would be corrected (April 9, 2024).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Establish policies and procedures for sheltering.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
The home gave a date the problem would be corrected (April 20, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (April 20, 2024).
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.
The home gave a date the problem would be corrected (April 20, 2024).
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.
The home gave a date the problem would be corrected (July 22, 2021).
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.
The home gave a date the problem would be corrected (July 22, 2021).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (October 30, 2025).
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.
The home gave a date the problem would be corrected (October 30, 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.