All citations for Springfield Skilled 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 Springfield Skilled Care Center

Last standard health inspection on record

February 13, 2025

Showing 1 to 25 of 33 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

  2. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

  3. Harm to a resident

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

  4. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

  5. Harm to a resident

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 12, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of June 12, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of June 12, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of June 12, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 12, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

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

    Health citation F-0776, Administration Deficiencies. Inspection of July 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of June 12, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 27, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

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

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

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

  19. 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 January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2026).

  21. 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 February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

  24. 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 February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of February 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

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.