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 25 of 28 citations

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).
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).
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).
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).
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).
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 March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2024).
No harm, with potential for more than minimal harm
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Widespread (many residents). CMS level F.
Fire safety citation K-0132, Construction Deficiencies. Inspection of March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
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 March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 2023).
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 January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 2023).
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 January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 2023).
No harm, with potential for more than minimal harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 2023).
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 January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the use of electrical equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 25, 2023).
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 January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 31, 2023).
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).
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).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
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 March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2024).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0131, Construction Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 31, 2023).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 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.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0521, Services Deficiencies. Inspection of March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2024).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of March 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 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.