All citations for Menifee Lakes Post Acute

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 Menifee Lakes Post Acute

Last standard health inspection on record

March 13, 2025

Showing 1 to 19 of 19 citations

  1. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  2. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  7. 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 May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

  9. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Establish policies and procedures for medical documentation.

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

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

  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 September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

  15. 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 September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

  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 September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

  19. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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.