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 26 to 44 of 44 citations

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights 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. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights 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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning 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

    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 January 18, 2025. Found during a standard inspection.

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

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of January 18, 2025. Found during a standard inspection.

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

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

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

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

    Health citation F-0800, 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).

    The home is disputing this citation.

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, 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).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 31, 2024. Found during a complaint inspection.

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

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 31, 2024. Found during a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of January 21, 2024. Found during a standard inspection.

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

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning 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

    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 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 enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of January 21, 2024. Found during a standard inspection.

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

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of January 21, 2024. Found during a standard inspection.

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

  15. No harm, with potential for minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level C.

    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).

  16. No harm, with potential for 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 B.

    Health citation F-0911, Environmental Deficiencies. Inspection of February 9, 2026. Found during a standard inspection.

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

  17. No harm, with potential for minimal harm

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

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

    Health citation F-0912, Environmental Deficiencies. Inspection of February 9, 2026. Found during a standard inspection.

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

  18. No harm, with potential for 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 B.

    Health citation F-0911, Environmental Deficiencies. Inspection of January 21, 2024. Found during a standard inspection.

    A waiver was granted (February 20, 2024).

  19. No harm, with potential for minimal harm

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

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

    Health citation F-0912, Environmental Deficiencies. Inspection of January 21, 2024. Found during a standard inspection.

    A waiver was granted (February 20, 2024).

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.