Surrey Place St Lukes Hospital Skilled Nursing

Inspection history (13)

• September 11, 2024 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-10-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-11.GOV

• August 1, 2024 · F

  Citation F0838

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0838 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. The deficiency was recorded as corrected on 2024-09-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• August 1, 2024 · F

  Citation F0726

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0726 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2024-09-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• August 1, 2024 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2024-09-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• August 1, 2024 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-10-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• August 1, 2024 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-09-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• August 1, 2024 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-09-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• August 1, 2024 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-09-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• August 1, 2024 · D

  Citation F0602

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2024-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• December 21, 2022 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2022-12-21 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-02-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-12-21.GOV

• August 22, 2019 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2019-08-22 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2019-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-08-22.GOV

• August 22, 2019 · D

  Citation F0582

  Federal surveyors cited this nursing home on 2019-08-22 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2019-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-08-22.GOV

• August 22, 2019 · E

  Citation F0923

  Federal surveyors cited this nursing home on 2019-08-22 under CMS tag F0923 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have enough outside ventilation via a window or mechanical ventilation, or both. The deficiency was recorded as corrected on 2019-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-08-22.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 6.03 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: St Lukes Episcopal-Presbyterian Hospital

   parent · PAC 0042116295