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 25 of 33 citations

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

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

  2. 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 12, 2025. Found during a standard inspection.

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

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

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

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

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

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

  15. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

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

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

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

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

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

  22. 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 September 12, 2025. Found during a standard inspection.

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

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

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

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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.