Central Baptist Village

Inspection findings

1. Jun 15, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Jul 7, 2026 · CMS health inspection

2. Aug 8, 2025 Health · 7 findings
   • Not serious Scope/severity D

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Aug 27, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Aug 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Aug 27, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Aug 27, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 27, 2025 · CMS health inspection

3. Jan 2, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jan 10, 2025 · CMS health inspection

4. Aug 15, 2024 Health · 14 findings
   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Sep 4, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     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.

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0161 Construction Deficiencies

     Use approved construction type or materials.

     Corrected Sep 14, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Sep 14, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Sep 17, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Sep 17, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Sep 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Sep 16, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Sep 16, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Sep 13, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Sep 13, 2024 · CMS fire safety

5. Sep 7, 2023 Fire Safety · 13 findings
   • Not serious Scope/severity F

     E0022 Emergency Preparedness Deficiencies

     Establish policies and procedures for sheltering.

     Corrected Sep 27, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Sep 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

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

     Corrected Sep 21, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Sep 21, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Sep 25, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 22, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 28, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Oct 1, 2023 · CMS fire safety

6. Oct 6, 2022 Fire Safety · 6 findings
   • Not serious Scope/severity F

     E0015 Emergency Preparedness Deficiencies

     Address subsistence needs for staff and patients.

     Corrected Nov 4, 2022 · CMS fire safety

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     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.

     Corrected Oct 25, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Oct 28, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Nov 20, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0531 Services Deficiencies

     Have elevators that firefighters can control in the event of a fire.

     Corrected Oct 26, 2022 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Nov 2, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• ALTMAN, LORI — operational/managerial control, NOT APPLICABLE, since 11/23/2009
• ALTMAN, LORI — adp of the snf, NOT APPLICABLE, since 11/23/2009
• ANDREWS, DANIEL — corporate director, NOT APPLICABLE, since 04/03/2023
• ANDREWS, DANIEL — trustee of the snf, NOT APPLICABLE, since 04/03/2023
• COBAN, MARY — corporate director, NOT APPLICABLE, since 01/01/2008
• COBAN, MARY — trustee of the snf, NOT APPLICABLE, since 01/01/2008
• DALTON, MARY — corporate officer, NOT APPLICABLE, since 07/05/2022
• DALTON, MARY — operational/managerial control, NOT APPLICABLE, since 07/05/2022
• DALTON, MARY — adp of the snf, NOT APPLICABLE, since 07/05/2022
• DUNNE BERNARDI, JUDITH — trustee of the snf, NOT APPLICABLE, since 01/01/2003
• DUNNE BERNARDI, JUDITH — corporate director, NOT APPLICABLE, since 01/01/2003
• GUSTAFSON, RICHARD — corporate director, NOT APPLICABLE, since 03/16/2015
• GUSTAFSON, RICHARD — trustee of the snf, NOT APPLICABLE, since 03/16/2015
• JOHNSON, CAROLYN — trustee of the snf, NOT APPLICABLE, since 03/01/2013
• JOHNSON, CAROLYN — corporate director, NOT APPLICABLE, since 03/01/2013
• KOO, KEVIN — adp of the snf, NOT APPLICABLE, since 08/02/2021
• KOO, KEVIN — operational/managerial control, NOT APPLICABLE, since 08/02/2021
• LACROIX, ANNA-LIISA — adp of the snf, NOT APPLICABLE, since 12/11/2023
• LACROIX, ANNA-LIISA — corporate officer, NOT APPLICABLE, since 12/11/2023
• LACROIX, ANNA-LIISA — operational/managerial control, NOT APPLICABLE, since 12/11/2023
• LEEPER, CONNIE — trustee of the snf, NOT APPLICABLE, since 01/01/2006
• LEEPER, CONNIE — corporate director, NOT APPLICABLE, since 01/01/2006
• MCGOVERN, RAYMOND — trustee of the snf, NOT APPLICABLE, since 01/01/1996
• MCGOVERN, RAYMOND — corporate director, NOT APPLICABLE, since 01/01/1996
• RAGSDALE, JON — adp of the snf, NOT APPLICABLE, since 09/23/2023
• RAGSDALE, JON — operational/managerial control, NOT APPLICABLE, since 09/23/2023
• SALVADOR, CARLO — corporate director, NOT APPLICABLE, since 01/01/2009
• SALVADOR, CARLO — trustee of the snf, NOT APPLICABLE, since 01/01/2009
• SCHILL, JOSEPH — corporate director, NOT APPLICABLE, since 03/21/2022
• SCHILL, JOSEPH — trustee of the snf, NOT APPLICABLE, since 03/21/2022
• SIMANIS, GUNDARS — adp of the snf, NOT APPLICABLE, since 10/30/2023
• SIMANIS, GUNDARS — operational/managerial control, NOT APPLICABLE, since 10/30/2023
• SIMANIS, GUNDARS — corporate director, NOT APPLICABLE, since 10/30/2023
• WHITESELL, ROBERT — trustee of the snf, NOT APPLICABLE, since 06/21/2021
• WHITESELL, ROBERT — corporate director, NOT APPLICABLE, since 06/21/2021
• WITT, DANIEL — trustee of the snf, NOT APPLICABLE, since 03/18/2019
• WITT, DANIEL — corporate director, NOT APPLICABLE, since 03/18/2019
• WOLTER, MARLENE — adp of the snf, NOT APPLICABLE, since 05/05/2008
• WOLTER, MARLENE — corporate director, NOT APPLICABLE, since 05/05/2008
• WOLTER, MARLENE — operational/managerial control, NOT APPLICABLE, since 05/05/2008