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 102 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

    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 November 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 10, 2020).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of November 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 10, 2020).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  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 January 13, 2026. Found during a complaint inspection.

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

  15. 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).

  16. 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).

  17. 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 October 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  18. 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 July 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  19. 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 January 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of December 6, 2023. Found during a complaint inspection.

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

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

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

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

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 21, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 10, 2023).

  22. 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.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

  25. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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.