All citations for Mount St Mary

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 Mount St Mary

Last standard health inspection on record

March 31, 2025

Showing 1 to 12 of 12 citations

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  3. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  4. 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 October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  7. 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 October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  8. 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 October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  10. 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.

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

    Fire safety citation K-0343, Smoke Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  11. 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 October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  12. 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.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of October 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 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.