All citations for Villa Serena Healthcare Center

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 Villa Serena Healthcare Center

Last standard health inspection on record

February 9, 2026

Showing 1 to 25 of 65 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

  2. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

  3. 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 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

  4. 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.

    Widespread (many residents). CMS level F.

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

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0912, Environmental Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

  6. 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 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

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

    Have restrictions on the use of flammable curtains.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  9. 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 January 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  10. 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 May 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of January 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  13. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of February 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

  17. 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.

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

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

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

  18. 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 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

  19. 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.

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

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

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

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

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

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

    Health citation F-0836, Administration Deficiencies. Inspection of January 18, 2025. Found during a standard inspection and a complaint inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

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

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

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

    Health citation F-0911, Environmental Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home has a plan to correct it (February 12, 2025).

    The home is disputing this citation.

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

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.