All citations for Serenethos Care Center, LLC

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 Serenethos Care Center, LLC

Last standard health inspection on record

June 20, 2025

Showing 1 to 25 of 44 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 June 20, 2025. Found during a standard inspection.

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

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of June 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2025).

  3. 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 June 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2025).

  4. 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 June 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 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 June 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2025).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2025).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  8. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  10. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  11. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  12. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  13. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2023).

  15. 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 December 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2023).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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

    Have an alternate power supply for its alarm system.

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

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  19. 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 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  21. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of June 20, 2025. Found during a standard inspection.

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

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of June 20, 2025. Found during a standard inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

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.