All citations for Village at St Edward NRSG Care

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 Village at St Edward NRSG Care

Last standard health inspection on record

March 2, 2026

Showing 1 to 23 of 23 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 September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

  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 September 15, 2022. Found during a standard inspection.

    A waiver was granted (January 30, 2023).

  4. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

  6. 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 September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

  8. 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 September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

  12. 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 September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Provide at least two remote exits on each floor or fire section of the building.

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

    Fire safety citation K-0252, Egress Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

  20. 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 September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

  21. 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 September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

  23. 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 September 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2022).

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.