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 21 of 21 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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 July 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2023).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, 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).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.