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.

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Last standard health inspection on record

February 27, 2026

Showing 1 to 11 of 11 citations

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

  2. 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.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

  3. 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 May 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 3, 2024).

  4. 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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

  5. 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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

  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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

  9. 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 March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of April 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

  11. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 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.