All citations for Serenity Estates of Lincolnshire

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 Serenity Estates of Lincolnshire

Last standard health inspection on record

April 24, 2025

Showing 1 to 19 of 19 citations

  1. 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 April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  2. 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 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  3. 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 April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  6. 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 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  8. 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 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

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

    Install a two-hour-resistant firewall separation.

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

    Fire safety citation K-0133, Construction Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  14. 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 April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  15. 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 April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  19. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

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