All citations for Meade District Hosp Ltcu DBA Lone Tree Retirement

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 Meade District Hosp Ltcu DBA Lone Tree Retirement

Last standard health inspection on record

August 21, 2025

Showing 1 to 25 of 34 citations

Immediate jeopardy to resident health or safety
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 J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (June 13, 2024).
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 August 21, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (October 1, 2025).
No harm, with potential for more than minimal harm
Dispose of garbage and refuse properly.
Widespread (many residents). CMS level F.
Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 21, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (October 1, 2025).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Widespread (many residents). CMS level F.
Health citation F-0882, Infection Control Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 1, 2025).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2025).
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 August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2025).
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 August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 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 August 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
No harm, with potential for more than minimal harm
Keep all essential equipment working safely.
Widespread (many residents). CMS level F.
Health citation F-0908, Environmental Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
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 August 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2023).
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 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2023).
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 August 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of November 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 2022).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Pattern (more than a few residents). CMS level E.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 1, 2025).
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 August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 1, 2025).
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 August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2025).
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 August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2025).
No harm, with potential for more than minimal harm
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0771, Miscellaneous Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2025).
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 August 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2023).
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 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2023).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2023).
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 November 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 11, 2021).
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 November 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 5, 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.