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 22 of 22 citations

  1. 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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

  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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

  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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

  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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2025).

  10. 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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  12. 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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  13. 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 22, 2025. Found during a standard inspection.

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

  14. 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 April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  15. 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 April 22, 2025. Found during a standard inspection.

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

  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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2025).

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

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

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

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

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

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

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

    Have correct number of accessible exits for each story.

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

    Fire safety citation K-0241, Egress Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  21. 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 April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2025).

  22. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 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.