Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Sutton Community Home, Inc.

Sutton, NE · 31 certified beds · Last Life Safety survey December 18, 2025

CMS Certification Number 285277 · first certified October 2008

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within NE

14 citations — more than 44% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was December 2025. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility14NE median15National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0922024-0952025-12
Citations at each Life Safety survey
Survey dateCitations
September 14, 20237
September 12, 20242
December 18, 20255

Most-cited tags

Most-cited tags at this facility
E-00412K-07122K-09182K-03241K-03451K-07611K-07541K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0041Implement emergency and standby power systems.22025-12-18
K-0712Have simulated fire drills held at unexpected times.22025-12-18
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-12-18
K-0324Provide properly protected cooking facilities.12025-12-18
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-09-14
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-09-14
K-0754Provide properly sized and located linen or trash receptacles.12023-09-14
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-12-18

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 18, 2025 — 5 citations

Citations issued on December 18, 2025
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (January 29, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (January 29, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 29, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 29, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 29, 2026)

September 12, 2024 — 2 citations

Citations issued on September 12, 2024
TagWhat the surveyor checksStatus
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 3, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 3, 2024)

September 14, 2023 — 7 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (October 27, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 27, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 27, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 27, 2023)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (October 27, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 27, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 27, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.