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 26 to 48 of 48 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  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 11, 2024. Found during a standard inspection.

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

  8. 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).

  9. 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).

  10. 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 January 11, 2024. Found during a standard inspection.

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

  11. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

  12. 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 January 11, 2024. Found during a standard inspection.

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

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

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

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

    A waiver was granted (February 11, 2024).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

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

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

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

    Fire safety citation K-0925, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

  20. No harm, with potential for minimal harm

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

  21. No harm, with potential for minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 11, 2024. Found during a standard inspection.

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

  22. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

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

  23. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    A waiver was granted (December 27, 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.