All citations for South Peninsula Hospital LTC

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 South Peninsula Hospital LTC

Last standard health inspection on record

September 12, 2025

Showing 1 to 17 of 17 citations

  1. 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 August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0300, Egress Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

  4. 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 August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

  6. 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 August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2024).

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

    The home gave a date the problem would be corrected (October 30, 2024).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2023).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0300, Egress Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2023).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

  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 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2023).

  14. 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 September 12, 2025. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection.

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2023).

  17. No harm, with potential for minimal harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Widespread (many residents). CMS level C.

    Health citation F-0568, Resident Rights Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 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.