All citations for Marymount Manor

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 Marymount Manor

Last standard health inspection on record

June 13, 2025

Showing 1 to 25 of 28 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 18, 2023. Found during a complaint inspection.

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

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 18, 2023. Found during a complaint inspection.

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

  3. Harm to a resident

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of December 18, 2023. Found during a complaint inspection.

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

  4. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  6. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  8. 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 September 30, 2022. Found during a standard inspection.

    A waiver was granted (February 13, 2023).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  10. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 18, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 19, 2023).

  11. 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 December 18, 2023. Found during a complaint inspection.

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

  12. 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 December 18, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

  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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 19, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  16. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  17. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  20. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  21. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  22. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  23. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  24. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

  25. 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 September 30, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2022).

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.