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 26 to 50 of 63 citations

  1. 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).

  2. 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).

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

    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 D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of March 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2024).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2024).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

  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 April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.