All citations for St Sophia Health & Rehabilitation 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 St Sophia Health & Rehabilitation Center

Last standard health inspection on record

January 28, 2025

Showing 1 to 25 of 48 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.

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

  2. 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 May 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 1, 2026).

  3. 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 February 26, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 13, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 3, 2025. Found during a complaint inspection.

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

  5. 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 October 3, 2025. Found during a complaint inspection.

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

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of October 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 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 January 28, 2025. Found during a standard inspection.

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

  8. 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 January 28, 2025. Found during a standard inspection and a complaint inspection.

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

  9. 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 January 28, 2025. Found during a standard inspection.

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

  10. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.

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

  11. 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 January 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

  12. 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 January 28, 2025. Found during a standard inspection.

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

  13. 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 January 28, 2025. Found during a standard inspection.

    A waiver was granted.

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.

    A waiver was granted.

  15. 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 January 28, 2025. Found during a standard inspection.

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

  16. 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 January 28, 2025. Found during a standard inspection.

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

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0500, Services Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.

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

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.

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

  19. 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 January 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2025).

  20. 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 January 28, 2025. Found during a standard inspection.

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

  21. 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 January 28, 2025. Found during a standard inspection.

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

  22. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 1, 2026).

  23. 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 April 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2026).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2026).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2026).

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.