All citations for John T Mather Memorial Hosp T C U

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 John T Mather Memorial Hosp T C U

Last standard health inspection on record

May 23, 2025

Showing 1 to 15 of 15 citations

  1. 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 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2025).

  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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 21, 2022).

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

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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

    Health citation F-0635, Resident Assessment and Care Planning Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

  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

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

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

    Health citation F-0882, Infection Control Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

  8. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of June 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 2, 2022).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 2, 2022).

  14. No harm, with potential for minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level C.

    Health citation F-0868, Administration Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

  15. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Widespread (many residents). CMS level C.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 21, 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.