All citations for Nancy Hart Operation LLC

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 Nancy Hart Operation LLC

Last standard health inspection on record

July 24, 2025

Showing 26 to 50 of 50 citations

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2025).

  2. 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 April 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  3. 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 February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

  5. 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 February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

  8. 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 February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

  10. 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 February 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

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

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

  14. 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 February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2024).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2023).

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

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

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

    Health citation F-0626, Resident Rights Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2023).

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

    Establish an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2023).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2023).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2023).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of January 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 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.