All citations for Tiffany Heights

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 Tiffany Heights

Last standard health inspection on record

December 5, 2025

Showing 1 to 25 of 42 citations

  1. 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 December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  2. 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 December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of February 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2023).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2023).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of February 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2023).

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

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of February 17, 2023. Found during a standard inspection.

    A waiver was granted.

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

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of February 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2023).

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

    The resident has the right to receive notices in a format and a language he or she understands.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0574, Resident Rights Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  12. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Keep residents' personal and medical records private and confidential.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  20. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  21. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  23. 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 August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  24. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 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.