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 33 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

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

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  17. 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 January 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

  18. 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).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2024).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  24. 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 January 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2026).

  25. 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 January 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 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.