All citations for Kirkhaven

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 Kirkhaven

Last standard health inspection on record

December 9, 2024

Showing 1 to 14 of 14 citations

  1. 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 December 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 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 March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2021).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of December 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of December 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

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

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

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2021).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2021).

  12. No harm, with potential for minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

  13. No harm, with potential for minimal harm

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

  14. No harm, with potential for minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2021).

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.