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 27 citations

  1. 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).

  2. 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).

  3. 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).

  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 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

    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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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.

  14. 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.

  15. No harm, with potential for minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  16. No harm, with potential for minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  17. No harm, with potential for minimal harm

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  18. No harm, with potential for minimal harm

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  19. No harm, with potential for minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  20. No harm, with potential for minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  21. No harm, with potential for minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  22. No harm, with potential for minimal harm

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  23. No harm, with potential for minimal harm

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.

    The home has a plan to correct it.

  24. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, 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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, 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 October 1, 2026. Inspection results describe the home at the time of each inspection.