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 11 of 11 citations

  1. 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 May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

  2. 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 May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

  4. 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

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

  5. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

  7. 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 May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

  9. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

  11. 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

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

    Health citation F-0868, Administration Deficiencies. Inspection of May 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

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.