All citations for Aspen Health and Wellness

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 Aspen Health and Wellness

Last standard health inspection on record

June 26, 2025

Showing 51 to 75 of 100 citations

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  2. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  3. 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 October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

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

    Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

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

    Health citation F-0920, Environmental Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  5. 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 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  9. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2022).

  10. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2022).

  11. 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 January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2022).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2022).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2022).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

  20. 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 June 26, 2025. Found during a standard inspection and a complaint inspection.

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

  21. 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 June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

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

  24. 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 June 26, 2025. Found during a standard inspection and a complaint inspection.

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

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of June 26, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 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.