All citations for Sheridan County Hospital Ltcu

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 Sheridan County Hospital Ltcu

Last standard health inspection on record

October 22, 2025

Showing 1 to 25 of 33 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2025).

  2. 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 October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2025).

  3. 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 October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  4. 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 October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Have restrictions on the use of highly flammable decorations.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  8. 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 May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  9. 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 May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

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

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0131, Construction Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  11. 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 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2024).

  12. 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 May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  13. 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 May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2022).

  15. 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 July 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2022).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2022).

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

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

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

    Fire safety citation K-0111, Construction Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Meet requirements for sections of health care facilities separated by fire resistive construction.

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

    Fire safety citation K-0131, Construction Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  19. 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 October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  21. 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 October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  22. 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 May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

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

    The home gave a date the problem would be corrected (September 5, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

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.