All citations for Serenity Hill Nursing 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 Serenity Hill Nursing Center

Last standard health inspection on record

March 3, 2026

Showing 1 to 25 of 38 citations

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

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

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Widespread (many residents). CMS level F.

    Health citation F-0909, Environmental Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

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

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of May 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

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

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

    Health citation F-0551, Resident Rights Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

  7. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

  9. 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 March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of March 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

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

  15. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

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

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  20. 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 April 29, 2025. Found during a standard inspection.

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

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of April 29, 2025. Found during a standard inspection.

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  23. 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 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  25. 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 April 29, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 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.