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 19 of 19 citations

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).
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).
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).
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).
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 February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
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 February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
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 February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
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 February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
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 February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
No harm, with potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pattern (more than a few residents). CMS level E.
Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2024).
No harm, with potential for more than minimal harm
Provide activities to meet all resident's needs.
Pattern (more than a few residents). CMS level E.
Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2024).
No harm, with potential for more than minimal harm
Have properly installed hallway dispensers for alcohol-based hand rub.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0325, Smoke Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 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 February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 13, 2024).
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 February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2024).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2024).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Isolated (one or a few residents). CMS level D.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2024).
No harm, with potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Isolated (one or a few residents). CMS level D.
Health citation F-0947, Nursing and Physician Services 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.