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 26 to 43 of 43 citations

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 August 27, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 3, 2024).
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 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Post nurse staffing information every day.
Isolated (one or a few residents). CMS level D.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Isolated (one or a few residents). CMS level D.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Provide or get specialized rehabilitative services as required for a resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
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 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Isolated (one or a few residents). CMS level D.
Health citation F-0942, Resident Rights Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Isolated (one or a few residents). CMS level D.
Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0511, Services Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Isolated (one or a few residents). CMS level D.
Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 6, 2022).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0511, Services Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2022).

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.