All citations for Serenity Spring Senior Living at Northwood

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 Spring Senior Living at Northwood

Last standard health inspection on record

June 13, 2025

Showing 1 to 25 of 72 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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

  2. 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 June 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 13, 2025. Found during a standard inspection.

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

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of May 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  5. 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 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  6. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2024).

  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 May 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2024).

  8. 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 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  9. 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 May 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2024).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

  16. 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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

  17. 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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

  18. 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 February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of April 7, 2026. Found during a complaint inspection.

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

  22. 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 June 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2025).

  23. 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.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of June 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2025).

  24. 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 June 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2025).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 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.