All citations for Afton Oaks Nursing and Rehabilitation Center

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 Afton Oaks Nursing and Rehabilitation Center

Last standard health inspection on record

June 11, 2026

Showing 1 to 25 of 43 citations

  1. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  2. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  3. Immediate jeopardy to resident health or safety

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

    Pattern (more than a few residents). CMS level K.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  4. Immediate jeopardy to resident health or safety

    Provide safe, appropriate pain management for a resident who requires such services.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  5. Immediate jeopardy to resident health or safety

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  6. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  7. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 22, 2025).

  8. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 11, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

  9. Immediate jeopardy to resident health or safety

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2023).

  10. Immediate jeopardy to resident health or safety

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2023).

  11. Immediate jeopardy to resident health or safety

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2023).

  12. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2023).

  13. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0835, Administration Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2023).

  14. 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 January 14, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

  15. 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 April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2025).

  16. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2023).

  17. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  18. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  19. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  20. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  21. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  22. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  23. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0925, Environmental Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  24. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

  25. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of April 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 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.