All citations for Saint John Paul II 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 Saint John Paul II Center

Last standard health inspection on record

May 13, 2025

Showing 1 to 25 of 67 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

  2. 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 May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2026).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  4. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

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

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

  7. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

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

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

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

  11. 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 May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

  12. 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.

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

    Health citation F-0882, Infection Control Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2023).

  13. 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 May 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 26, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2021).

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

    Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.

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

    Fire safety citation K-0791, Miscellaneous Deficiencies. Inspection of May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2026).

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

    Give the resident's representative the ability to exercise the resident's rights.

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

    Health citation F-0551, Resident Rights Deficiencies. Inspection of March 27, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  17. 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 16, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (October 5, 2025).

  18. 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 16, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (October 5, 2025).

  19. 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 September 2, 2025. Found during a complaint inspection.

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

  20. 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 August 21, 2025. Found during a complaint inspection.

    No plan of correction on record.

  21. 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 August 21, 2025. Found during a complaint inspection.

    No plan of correction on record.

  22. 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 August 21, 2025. Found during a complaint inspection.

    No plan of correction on record.

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  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 May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  25. 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 May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 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.