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 26 to 46 of 46 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

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

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

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

  7. 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).

  8. 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).

  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 November 28, 2023. Found during a complaint inspection.

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

  10. 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).

  11. 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).

  12. 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).

  13. 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).

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

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

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

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

  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 October 12, 2023. Found during a standard inspection.

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

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

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2023).

  19. No harm, with potential for minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.

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

  20. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2023).

  21. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 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.