All citations for Shady Lane Gloucester Co Home

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 Shady Lane Gloucester Co Home

Last standard health inspection on record

September 5, 2025

Showing 1 to 25 of 27 citations

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 September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 25, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
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 September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 22, 2025).
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 September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
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 September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Have proper openings in smoke barrier doors.
Widespread (many residents). CMS level F.
Fire safety citation K-0379, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 1, 2026).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Widespread (many residents). CMS level F.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Meet requirements for the use of electrical equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
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 September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 9, 2024).
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 April 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 9, 2024).
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 April 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 9, 2024).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Widespread (many residents). CMS level F.
Health citation F-0881, Infection Control Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2022).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 13, 2022).
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 April 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2022).
No harm, with potential for more than minimal harm
Ensure staff are vaccinated for COVID-19
Pattern (more than a few residents). CMS level E.
Health citation F-0888, Infection Control Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2022).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2025).
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 April 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 9, 2024).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 9, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of April 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 9, 2024).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Isolated (one or a few residents). CMS level D.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2022).

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.