All citations for Bourne Manor Extended Care Facility

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 Bourne Manor Extended Care Facility

Last standard health inspection on record

May 11, 2026

Showing 1 to 25 of 29 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

  2. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

  3. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2026).

  4. 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 May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

  6. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

  8. 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 January 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

  11. 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 October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

  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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

  16. 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 May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

  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 May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

  18. 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 May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2026).

  19. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  20. 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 January 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  21. 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 November 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of November 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Give the resident's representative the ability to exercise the resident's rights.

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

    Health citation F-0551, Resident Rights Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 17, 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.