All citations for Little Sisters of the Poor

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 Little Sisters of the Poor

Last standard health inspection on record

June 25, 2025

Showing 1 to 25 of 38 citations

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 June 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 25, 2025).
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 June 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2025).
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 June 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 25, 2025).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Meet other general requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0200, Egress Deficiencies. Inspection of January 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2019).
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 January 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2019).
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 January 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2019).
No harm, with potential for more than minimal harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Pattern (more than a few residents). CMS level E.
Health citation F-0622, Resident Rights Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
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 March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pattern (more than a few residents). CMS level E.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Pattern (more than a few residents). CMS level E.
Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pattern (more than a few residents). CMS level E.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
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 March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the use of electrical equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 26, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0550, Resident Rights Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2025).
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 June 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 25, 2025).
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 June 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 25, 2025).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0580, Resident Rights Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Prepare residents for a safe transfer or discharge from the nursing home.
Isolated (one or a few residents). CMS level D.
Health citation F-0624, Resident Rights Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Isolated (one or a few residents). CMS level D.
Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Isolated (one or a few residents). CMS level D.
Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 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.