All citations for Peace Care St Ann's

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 Peace Care St Ann's

Last standard health inspection on record

March 9, 2026

Showing 1 to 25 of 48 citations

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

  5. 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 March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

  10. 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 March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2024).

  13. 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 October 17, 2024. Found during a standard inspection.

    A waiver was granted (December 6, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

  15. 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 November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2022).

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2022).

  17. 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 November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

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

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

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2022).

  21. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of March 9, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 9, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

  25. 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 March 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

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.