All citations for Martha and Mary Health Service

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 Martha and Mary Health Service

Last standard health inspection on record

February 13, 2026

Showing 1 to 19 of 19 citations

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  9. 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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 27, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  11. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  12. 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 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

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

    Health citation F-0810, Nutrition and Dietary Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

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

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of October 27, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  19. 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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 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.