All citations for Pelican Ridge Post Acute

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 Pelican Ridge Post Acute

Last standard health inspection on record

August 19, 2025

Showing 1 to 25 of 119 citations

  1. 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 August 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  2. 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 August 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  3. 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 August 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  4. 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 August 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  5. 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 July 19, 2024. Found during a standard inspection.

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

  6. 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 July 19, 2024. Found during a standard inspection.

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

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of August 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

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

  10. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

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

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

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

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

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

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

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

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

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

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

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

  16. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2022).

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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of July 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2022).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

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

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of July 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2022).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of July 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2022).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 5, 2022).

  21. 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 16, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  22. 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 February 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of October 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 5, 2025).

  24. 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 October 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 5, 2025).

  25. 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 October 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 5, 2025).

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.