All citations for Mercy Retirement & Care Center

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

February 13, 2025

Showing 26 to 49 of 49 citations

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

  3. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

  4. 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 February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  6. 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 February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  7. 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 February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of February 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2023).

  10. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2023).

  11. 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 June 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2023).

  12. 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 June 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2023).

  13. 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 February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2020).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2020).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2020).

  16. 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 February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2020).

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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2020).

  18. 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 February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2020).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2020).

  20. 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 February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2020).

  21. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  22. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  23. No harm, with potential for minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  24. No harm, with potential for minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level C.

    Health citation F-0851, Administration Deficiencies. Inspection of June 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 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.