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 21 of 21 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  15. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  17. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  18. No harm, with potential for minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0211, 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).

  19. No harm, with potential for minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0225, 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).

  20. No harm, with potential for minimal harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0232, 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).

  21. No harm, with potential for minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.