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 23 of 23 citations

  1. 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 August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  2. 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 August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

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

    Ensure gas and vacuum piping is labeled.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0909, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  5. 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 August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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 September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2022).

  13. 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).

  14. 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).

  15. 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 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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, 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).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, 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).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, 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).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2022).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 22, 2022).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2022).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 23, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2022).

  23. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness 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.