All citations for Loretto Health and Rehabilitation Center

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 Loretto Health and Rehabilitation Center

Last standard health inspection on record

August 29, 2025

Showing 1 to 25 of 30 citations

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

  2. 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 April 23, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

  4. 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 April 23, 2024. Found during a standard inspection and a complaint inspection.

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

  5. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of April 23, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of April 23, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 21, 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 April 23, 2024. Found during a standard inspection.

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

  9. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2024).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2024).

  11. 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 April 23, 2024. Found during a standard inspection.

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

  12. 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 April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2024).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

  14. 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 April 23, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

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

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of April 23, 2024. Found during a standard inspection and a complaint inspection.

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

  18. 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 April 23, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 23, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of April 23, 2024. Found during a standard inspection and a complaint inspection.

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

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

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

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

  22. 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 April 23, 2024. Found during a standard inspection.

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

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

    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0777, Administration Deficiencies. Inspection of April 23, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

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

  25. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 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.