All citations for Pope Nursing Home

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 Pope Nursing Home

Last standard health inspection on record

April 9, 2026

Showing 1 to 16 of 16 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0232, Egress Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Have correct number of accessible exits for each story.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0241, Egress Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

  14. 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 April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

  15. 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 April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2026).

  16. 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 April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 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.