All citations for Mercy Hospital Skilled Nursing Facility

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 Mercy Hospital Skilled Nursing Facility

Last standard health inspection on record

July 24, 2025

Showing 1 to 20 of 20 citations

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.
Pattern (more than a few residents). CMS level E.
Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2024).
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 February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2024).
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 February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2024).
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 February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2022).
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 July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2022).
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 July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2022).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2022).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2022).
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 July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2022).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2022).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2022).
No harm, with potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Isolated (one or a few residents). CMS level D.
Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2025).
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 July 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2025).
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 February 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2024).
No harm, with potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Isolated (one or a few residents). CMS level D.
Health citation F-0757, Pharmacy Service Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 29, 2022).
No harm, with potential for more than minimal harm
Meet other general requirements.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0100, Construction Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2022).
No harm, with potential for more than minimal harm
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0929, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 29, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 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.