All citations for Mercy Health Services

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.

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Last standard health inspection on record

May 21, 2025

Showing 1 to 22 of 22 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 May 13, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 7, 2024).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
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 December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
No harm, with potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Widespread (many residents). CMS level F.
Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 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 December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pattern (more than a few residents). CMS level E.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 5, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 4, 2024).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Isolated (one or a few residents). CMS level D.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 5, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 4, 2024).
No harm, with potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Isolated (one or a few residents). CMS level D.
Health citation F-0554, Resident Rights Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Isolated (one or a few residents). CMS level D.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
No harm, with potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Isolated (one or a few residents). CMS level D.
Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
No harm, with potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Isolated (one or a few residents). CMS level D.
Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
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 December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
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.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
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 December 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 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.