All citations for Bonterra Transitional Care & 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.

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Last standard health inspection on record

April 30, 2026

Showing 1 to 17 of 17 citations

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2024).

  2. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 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.

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

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

    The home gave a date the problem would be corrected (April 7, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

  6. 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 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

  7. 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 January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

  8. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

  9. 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 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

  10. 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 January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2023).

  15. 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 January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2023).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2023).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 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.