All citations for Pilgrim Place Health Services Center

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 Place Health Services Center

Last standard health inspection on record

December 5, 2025

Showing 26 to 50 of 52 citations

  1. 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 December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

  2. 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.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of September 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 2, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  5. 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 November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 10, 2024).

  9. 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 October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  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 October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2024).

  11. 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 October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2024).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 10, 2024).

  13. 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 October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2024).

  15. 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.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of October 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

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

    Health citation F-0882, Infection Control Deficiencies. Inspection of August 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 9, 2024).

  17. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 26, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  22. 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 October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  24. 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 October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  25. 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 October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 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.