All citations for Tri-State Village NRSG & RHB

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 Tri-State Village NRSG & RHB

Last standard health inspection on record

April 30, 2025

Showing 26 to 50 of 91 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2023).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2023).

  3. 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 January 19, 2023. Found during a standard inspection.

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

  4. 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 January 19, 2023. Found during a standard inspection.

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

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

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

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

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

  7. 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 January 19, 2023. Found during a standard inspection.

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

  8. 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 January 19, 2023. Found during a standard inspection.

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

  9. 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 January 19, 2023. Found during a standard inspection.

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

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

  12. 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.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of April 30, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

  13. 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.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

  14. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  20. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  22. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  23. 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 April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 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.