All citations for Bonnie Brae Skilled Nursing

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 Bonnie Brae Skilled Nursing

Last standard health inspection on record

January 8, 2026

Showing 1 to 25 of 32 citations

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

  4. 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 November 27, 2024. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2024).

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of May 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 4, 2026).

  12. 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 December 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

  13. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

  15. 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 November 27, 2024. Found during a standard inspection.

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

  16. 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 27, 2024. Found during a standard inspection.

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

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

  18. 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 November 27, 2024. Found during a standard inspection.

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

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

  21. 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 November 27, 2024. Found during a standard inspection.

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

  22. 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 February 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2024).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2024).

  25. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2024).

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.