Skip to main content

Inspection visit

Inspection

Pickering Manor HomeCMS #39559715 citations on this visit
15 citations recorded

Citations

15 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0684GeneralS&S Dpotential for harm

    F684 - Quality of care

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

  • 0689GeneralS&S Epotential for harm

    F689 - Accidents

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

  • 0004GeneralS&S Cno actual harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0006GeneralS&S Fpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0009GeneralS&S Cno actual harm

    Include a process for Emergency Preparedness collaboration.

  • 0013GeneralS&S Fpotential for harm

    Develop Emergency Preparedness policies and procedures.

  • 0024GeneralS&S Cno actual harm

    Establish policies and procedures for volunteers.

  • 0025GeneralS&S Cno actual harm

    Create arrangements with other facilities to receive patients.

  • 0036GeneralS&S Fpotential for harm

    Establish emergency prep training and testing.

  • 0037GeneralS&S Cno actual harm

    Establish staff and initial training requirements.

  • 0039GeneralS&S Cno actual harm

    Conduct testing and exercise requirements.

  • 0345GeneralS&S Epotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0918GeneralS&S Fpotential for harm

    F918 - Bathroom Facilities

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0923GeneralS&S Epotential for harm

    F923 - Have adequate outside ventilation by means of windows, or mechanical

    Have proper medical gas storage and administration areas.

FAQ · About this visit

Common questions about this visit

What happened during the September 18, 2025 survey of Pickering Manor Home?

This was a inspection survey of Pickering Manor Home on September 18, 2025. The surveyor cited 15 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Pickering Manor Home on September 18, 2025?

Yes, 15 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

Share this reportEmail

Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.