All citations for Mt Alverna Home Inc

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 Mt Alverna Home Inc

Last standard health inspection on record

December 12, 2024

Showing 1 to 25 of 38 citations

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of December 14, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Widespread (many residents). CMS level F.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of December 14, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  5. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  7. 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 July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

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

    Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

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

    Fire safety citation K-0227, Egress Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  10. 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 July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  11. 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 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  12. 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 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  13. 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 July 18, 2019. Found during a standard inspection.

    A waiver was granted (October 25, 2019).

  14. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  15. 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 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  16. 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 February 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2024).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  19. 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 July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  20. 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 July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  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 July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  22. 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 July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  23. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Widespread (many residents). CMS level C.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2019).

  24. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  25. No harm, with potential for minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

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.