All citations for St James Wellness Rehab Villas

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 St James Wellness Rehab Villas

Last standard health inspection on record

December 6, 2024

Showing 26 to 50 of 74 citations

  1. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 6, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

  3. 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 December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

  20. 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 December 18, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  21. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

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

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

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

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

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

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 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.