All citations for Tudor Oaks Health 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 Tudor Oaks Health Center

Last standard health inspection on record

June 16, 2025

Showing 1 to 23 of 23 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2025).

  2. 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 June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

  3. 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 June 16, 2025. Found during a standard inspection.

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

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

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

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

  8. 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 June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  10. 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 June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 20, 2025).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2025).

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

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

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

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

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

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

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

  17. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

    Provide appropriate foot care.

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

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

  22. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

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

  23. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 16, 2025. Found during a standard inspection.

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

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.