All citations for The Episcopal Church Home

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 The Episcopal Church Home

Last standard health inspection on record

August 15, 2025

Showing 1 to 21 of 21 citations

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 August 15, 2025. Found during a standard inspection and a complaint inspection.
Past non-compliance: already corrected by the time of the inspection.
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 11, 2025).
No harm, with potential for more than minimal harm
Develop a communication plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 11, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 11, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2025).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Widespread (many residents). CMS level F.
Fire safety citation K-0131, Construction Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 31, 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 October 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 11, 2025).
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 October 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 4, 2022).
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 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2020).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 1, 2022).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Isolated (one or a few residents). CMS level D.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2020).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2020).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of December 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2020).
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 December 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2020).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2020).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 13, 2019).
No harm, with potential for more than minimal harm
Meet requirements for the use of electrical equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 13, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 13, 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.