All citations for Pilgrim Manor

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 Pilgrim Manor

Last standard health inspection on record

February 13, 2026

Showing 1 to 25 of 49 citations

Harm to a resident
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Isolated (one or a few residents). CMS level G.
Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 19, 2026).
Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 27, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (December 27, 2024).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 19, 2026).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
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 February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 9, 2025).
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 November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 9, 2025).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of January 22, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 12, 2024).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 22, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 12, 2024).
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 December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 15, 2024).
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 December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 25, 2024).
No harm, with potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Pattern (more than a few residents). CMS level E.
Health citation F-0552, Resident Rights Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 19, 2026).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of February 13, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 16, 2026).
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 November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 27, 2024).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 9, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of December 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2024).
No harm, with potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Isolated (one or a few residents). CMS level D.
Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 1, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 10, 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.