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

January 28, 2026

Showing 1 to 21 of 21 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

  4. 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 December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

  6. 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 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

  8. 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 December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

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

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0940, Administration Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  14. 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 December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  16. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  17. 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 December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of December 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  20. No harm, with potential for minimal harm

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level C.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  21. No harm, with potential for minimal harm

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

    Widespread (many residents). CMS level C.

    Health citation F-0843, Administration Deficiencies. Inspection of October 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

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.