All citations for Southeast Colorado 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 Southeast Colorado Hospital LTC

Last standard health inspection on record

November 21, 2024

Showing 1 to 15 of 15 citations

  1. 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 November 21, 2024. Found during a standard inspection.

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

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

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

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

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

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

  5. 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 November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2024).

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

    Install a two-hour-resistant firewall separation.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2023).

  7. 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 June 15, 2023. Found during a standard inspection.

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

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

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2023).

  9. 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 June 15, 2023. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    A waiver was granted (December 7, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

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

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2023).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2022).

  15. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.