All citations for Milaca Elim Meadows Health 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.

Back to Milaca Elim Meadows Health Care Center

Last standard health inspection on record

December 18, 2025

Showing 1 to 25 of 26 citations

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

    Construct fire resistant interior walls.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 1, 2024).

  2. 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 November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  4. 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 November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2024).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    A waiver was granted.

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  10. 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 November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  11. 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 November 29, 2023. Found during a standard inspection.

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

  12. 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 November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 1, 2024).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2023).

  14. 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 November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

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

    Ensure proper storage of liquid oxygen.

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

    Fire safety citation K-0930, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  16. 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 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  20. 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 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  21. 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 January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  25. No harm, with potential for minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Widespread (many residents). CMS level C.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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.