All citations for The Shepherd's 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 The Shepherd's Center

Last standard health inspection on record

November 17, 2025

Showing 1 to 25 of 46 citations

  1. Immediate jeopardy to resident health or safety

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Widespread (many residents). CMS level L.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  2. Immediate jeopardy to resident health or safety

    Respond appropriately to all alleged violations.

    Widespread (many residents). CMS level L.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  3. Immediate jeopardy to resident health or safety

    Protect each resident from the wrongful use of the resident's belongings or money.

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

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

  6. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  13. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

  14. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

  15. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

  18. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  20. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  22. 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 February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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.