All citations for Retreat at the Stratford, the

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 Retreat at the Stratford, the

Last standard health inspection on record

February 12, 2026

Showing 1 to 24 of 24 citations

  1. 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 March 7, 2025. Found during a standard inspection.

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

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

  3. 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 March 7, 2025. Found during a standard inspection.

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

  4. 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 March 7, 2025. Found during a standard inspection.

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

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

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

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  9. 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 March 7, 2025. Found during a standard inspection.

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

  10. 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 March 7, 2025. Found during a standard inspection.

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

  11. 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 March 7, 2025. Found during a standard inspection.

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

  12. 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 March 7, 2025. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

  14. 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 June 2, 2025. Found during a complaint inspection.

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

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 2, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 25, 2025).

  16. 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 March 7, 2025. Found during a standard inspection.

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

  17. 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 March 7, 2025. Found during a standard inspection.

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

  18. 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 March 7, 2025. Found during a standard inspection.

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

  19. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

  22. No harm, with potential for minimal harm

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

  23. No harm, with potential for minimal harm

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

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

  24. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 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.