All citations for Kirtland Woods of Journey

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 Kirtland Woods of Journey

Last standard health inspection on record

May 5, 2026

Showing 1 to 25 of 37 citations

Harm to a resident
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 G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 20, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 6, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 29, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 21, 2024).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of July 29, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 21, 2024).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of June 18, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 21, 2024).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Widespread (many residents). CMS level F.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 15, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 15, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
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 July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
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 July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
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 July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
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 July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
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 July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 14, 2023).
No harm, with potential for more than minimal harm
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Pattern (more than a few residents). CMS level E.
Health citation F-0917, Environmental Deficiencies. Inspection of July 29, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 21, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 15, 2023).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 7, 2023).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pattern (more than a few residents). CMS level E.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 15, 2023).

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.