All citations for Bainbridge Nursing & 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 Bainbridge Nursing & Rehabilitation Center

Last standard health inspection on record

July 23, 2025

Showing 1 to 17 of 17 citations

  1. 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 July 23, 2025. Found during a standard inspection.

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

  2. 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 April 11, 2023. Found during a standard inspection.

    Fire Safety Evaluation Survey (June 22, 2023).

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

    Provide at least two remote exits on each floor or fire section of the building.

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

    Fire safety citation K-0252, Egress Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  4. 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 April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  5. 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 April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  6. 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 July 23, 2025. Found during a standard inspection.

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

  7. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

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

    Meet requirements for sections of health care facilities separated by fire resistive construction.

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

    Fire safety citation K-0131, Construction Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

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

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  11. No harm, with potential for minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  12. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  13. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  14. No harm, with potential for minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  15. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  16. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  17. No harm, with potential for minimal harm

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

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

    Health citation F-0847, Administration Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 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.