All citations for Sitter and Barfoot Veterans Care 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 Sitter and Barfoot Veterans Care Center

Last standard health inspection on record

June 5, 2025

Showing 1 to 25 of 31 citations

  1. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

  2. Immediate jeopardy to resident health or safety

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

  3. 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 September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2018).

  4. Harm to a resident

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2018).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2018).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

  10. 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 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2018).

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

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  14. 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 June 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 6, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

  16. 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 May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

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

    Protect each resident from the wrongful use of the resident's belongings or money.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

  18. 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 May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

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

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

  21. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

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

    Provide or obtain dental services for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of May 2, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2021).

  23. 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 September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2018).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2018).

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

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2018).

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.