All citations for Victorian Post Acute

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 Victorian Post Acute

Last standard health inspection on record

February 20, 2025

Showing 1 to 25 of 27 citations

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  4. 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 April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  5. 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 April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  6. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  9. 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 August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  15. 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 April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  17. 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.

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

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  18. 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.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  19. 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 April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

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

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  23. 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 August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  25. 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 August 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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.