All citations for Penfield Place

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 Penfield Place

Last standard health inspection on record

January 31, 2025

Showing 1 to 21 of 21 citations

  1. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

  4. 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 May 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  6. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

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

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

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  8. 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 January 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

  11. 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 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2022).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2022).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2022).

  16. 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 February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  18. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  19. No harm, with potential for minimal harm

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  20. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2022).

  21. No harm, with potential for minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.

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