All citations for Village Shalom Inc

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 Shalom Inc

Last standard health inspection on record

June 4, 2025

Showing 1 to 25 of 66 citations

Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 20, 2023).
Harm to a resident
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 G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 20, 2023).
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 June 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 2025).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2025).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2025).
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 June 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2025).
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 June 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 13, 2025).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 20, 2023).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Widespread (many residents). CMS level F.
Health citation F-0882, Infection Control Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 20, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
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 October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
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 October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
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 October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
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 October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2022).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2022).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2022).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 15, 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.