All citations for Baldwin Gardens Nursing 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 Baldwin Gardens Nursing Center

Last standard health inspection on record

January 30, 2026

Showing 1 to 22 of 22 citations

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2024).

  8. 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 March 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of December 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 6, 2025).

  10. 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 November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

  13. 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 November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

  14. 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 November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2024).

  19. 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 November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2024).

  20. No harm, with potential for minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2024).

  21. 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 November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  22. No harm, with potential for minimal harm

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of November 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.