All citations for O'Connor Hospital D/P SNF

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 O'Connor Hospital D/P SNF

Last standard health inspection on record

August 29, 2025

Showing 1 to 25 of 35 citations

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Widespread (many residents). CMS level F.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

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

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

    Have an alternate power supply for its alarm system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

  3. 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 May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

  7. 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 March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

  8. 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 August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  10. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

  18. 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 May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

  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 May 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

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

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

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 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.