All citations for Agave Grove Post Acute

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 Agave Grove Post Acute

Last standard health inspection on record

May 9, 2025

Showing 1 to 18 of 18 citations

  1. 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 May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    Establish policies and procedures for volunteers.

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

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    Create arrangements with other facilities to receive patients.

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

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

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

    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 D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 8, 2026).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

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

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

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 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.