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 24 of 24 citations

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).
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).
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).
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).
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).
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).
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).
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).
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).
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 February 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 13, 2023).
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 February 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 24, 2023).
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 February 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2023).
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 February 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2023).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 12, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Isolated (one or a few residents). CMS level D.
Health citation F-0690, 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).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0695, 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 (April 13, 2023).
No harm, with potential for more than minimal harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Isolated (one or a few residents). CMS level D.
Health citation F-0849, Administration Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 24, 2023).
No harm, with potential for more than minimal harm
Ensure staff are vaccinated for COVID-19
Isolated (one or a few residents). CMS level D.
Health citation F-0888, Infection Control Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 24, 2023).
No harm, with potential for minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level C.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of February 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 24, 2023).
No harm, with potential for minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0004, 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).
No harm, with potential for minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0013, 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).
No harm, with potential for minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0018, 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).
No harm, with potential for minimal harm
Establish policies and procedures for medical documentation.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0023, 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).
No harm, with potential for minimal harm
Create arrangements with other facilities to receive patients.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0025, 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).

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.