All citations for The Orchards at Southgate

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 Orchards at Southgate

Last standard health inspection on record

September 11, 2025

Showing 1 to 25 of 41 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 January 31, 2024. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (January 16, 2024).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2025).
Harm to a resident
Provide enough food/fluids to maintain a resident's health.
Isolated (one or a few residents). CMS level G.
Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2025).
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 September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2025).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2024).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of August 8, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 9, 2024).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Keep all essential equipment working safely.
Widespread (many residents). CMS level F.
Health citation F-0908, Environmental Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 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 July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 27, 2023).
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 July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 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 July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2023).
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 September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2025).
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 August 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2024).
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 August 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2024).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2024).
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 August 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2024).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2024).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pattern (more than a few residents). CMS level E.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 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 July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 3, 2023).
No harm, with potential for more than minimal harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0342, Smoke Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2023).
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 July 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 19, 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.