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 25 of 29 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

    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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of January 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 18, 2026).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 18, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 18, 2026).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.