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 18 of 18 citations

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  4. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  5. 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 February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

    Ensure the activities program is directed by a qualified professional.

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

    Health citation F-0680, Quality of Life and Care Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

  8. 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 February 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  9. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  11. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

    Ensure operating rooms are properly protected and written records are maintained and available for inspection.

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

    Fire safety citation K-0913, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  13. 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 October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

  14. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

  16. No harm, with potential for minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level C.

    Health citation F-0868, Administration Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  17. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  18. No harm, with potential for 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.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 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.