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.

Back to Jerold Phelps Comm Hosp SNF

Last standard health inspection on record

September 12, 2025

Showing 1 to 10 of 10 citations

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Widespread (many residents). CMS level F.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 1, 2025).

  2. 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

    Widespread (many residents). CMS level F.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  3. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  4. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  5. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  6. 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 April 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 1, 2025).

  7. 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 April 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 1, 2025).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  10. 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 March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

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.