All citations for Passavant Retirement and Healt

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 Passavant Retirement and Healt

Last standard health inspection on record

February 27, 2026

Showing 1 to 13 of 13 citations

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  2. 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 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2025).

  5. 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 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  7. 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 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  8. 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 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

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

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

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

    Health citation F-0847, Administration Deficiencies. Inspection of February 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  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 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  11. 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 January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

  12. 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 September 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  13. No harm, with potential for minimal harm

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

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