All citations for Nelson County Health System Care Center

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 Nelson County Health System Care Center

Last standard health inspection on record

June 10, 2026

Showing 1 to 25 of 29 citations

Harm to a resident
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level G.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 26, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 6, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2026).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2026).
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 April 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
Widespread (many residents). CMS level F.
Fire safety citation K-0347, Smoke Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 7, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
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 March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
Widespread (many residents). CMS level F.
Fire safety citation K-0347, Smoke Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2026).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level D.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 29, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 1, 2026).
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 April 29, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 1, 2026).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level D.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 23, 2025. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (June 23, 2025).
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 April 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 6, 2025).
No harm, with potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Isolated (one or a few residents). CMS level D.
Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 26, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 24, 2025).
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 March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2024).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).

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.