All citations for Victoria Haven Nursing Facility

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 Victoria Haven Nursing Facility

Last standard health inspection on record

January 21, 2026

Showing 1 to 25 of 72 citations

Harm to a resident
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Isolated (one or a few residents). CMS level G.
Health citation F-0580, Resident Rights Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 2, 2024).
Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 2, 2024).
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.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Widespread (many residents). CMS level F.
Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
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 January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
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 January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2026).
No harm, with potential for more than minimal harm
Have correct number of accessible exits for each story.
Widespread (many residents). CMS level F.
Fire safety citation K-0241, Egress Deficiencies. Inspection of January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2026).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2026).
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 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 6, 2026).
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 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 6, 2026).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures for sheltering.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures for medical documentation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2025).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2025).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 10, 2025).
No harm, with potential for more than minimal harm
Have correct number of accessible exits for each story.
Widespread (many residents). CMS level F.
Fire safety citation K-0241, Egress Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 10, 2025).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 10, 2025).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 12, 2024).
No harm, with potential for more than minimal harm
Have correct number of accessible exits for each story.
Widespread (many residents). CMS level F.
Fire safety citation K-0241, Egress Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 12, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 12, 2024).
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 January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 2, 2026).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pattern (more than a few residents). CMS level E.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 2, 2026).
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 January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2026).
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 January 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 6, 2026).

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.