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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
No harm, with potential for minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Widespread (many residents). CMS level C.
Fire safety citation K-0131, Construction Deficiencies. Inspection of July 18, 2019. Found during a standard inspection.
The home has a plan to correct it.
No harm, with potential for minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level C.
Fire safety citation K-0341, Smoke 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.
