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 26 to 50 of 116 citations

  1. 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.

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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 17, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2019).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of May 17, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2019).

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.