All citations for Marjorie P Lee Retirement Community

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 Marjorie P Lee Retirement Community

Last standard health inspection on record

January 29, 2026

Showing 1 to 21 of 21 citations

Harm to a resident
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 G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 4, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 22, 2025).
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 January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
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 January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
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 January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
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 July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 13, 2023).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 13, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 13, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 13, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 13, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 13, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 20, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 13, 2023).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0225, Egress Deficiencies. Inspection of December 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2020).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0281, Egress Deficiencies. Inspection of December 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2020).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2020).
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 December 28, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2020).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
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 January 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).

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.