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 40 citations

No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 August 18, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 18, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 24, 2025).
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 August 18, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Pattern (more than a few residents). CMS level E.
Health citation F-0557, Resident Rights Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
No harm, with potential for more than minimal harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Pattern (more than a few residents). CMS level E.
Health citation F-0568, Resident Rights Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
No harm, with potential for more than minimal harm
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Pattern (more than a few residents). CMS level E.
Health citation F-0569, Resident Rights Deficiencies. Inspection of May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 24, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
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 May 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 6, 2023).
No harm, with potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Isolated (one or a few residents). CMS level D.
Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of August 18, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 24, 2025).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0558, Resident Rights Deficiencies. Inspection of May 21, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 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.