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 51 to 75 of 96 citations

  1. 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).

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 29, 2024).

  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 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 29, 2024).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2024).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  8. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  13. 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 May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  14. 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 May 2, 2024. Found during a standard inspection.

    A waiver was granted (July 18, 2024).

  15. 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 May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0500, Services Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  17. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

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

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

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

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  21. 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 May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  22. 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).

  23. 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).

  24. 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).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, 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).

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.