All citations for Blue Heron Health and Rehabilitation

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 Blue Heron Health and Rehabilitation

Last standard health inspection on record

July 31, 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2025).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Health citation F-0847, Administration Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

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

    Health citation F-0848, Administration Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

  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 June 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 13, 2026).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 13, 2026).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2025).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2025).

  12. 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 April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

  15. 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 April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

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.