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 26 to 50 of 69 citations

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

  2. 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 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

  8. 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).

  9. 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).

  10. 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).

  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 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

    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).

  13. 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).

  14. 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).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of June 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of June 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

  17. 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).

  18. 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).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

  20. 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 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

  22. 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).

  23. 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.

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

    Fire safety citation K-0346, 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).

  24. 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.

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

    Fire safety citation K-0354, 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).

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

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

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

    Fire safety citation K-0355, 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).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.