All citations for Canyon Springs Post-Acute

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 Canyon Springs Post-Acute

Last standard health inspection on record

May 9, 2025

Showing 1 to 25 of 38 citations

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  4. 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 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 24, 2025).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  10. 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 July 22, 2025. Found during a complaint inspection.

    No follow-up visit needed (July 29, 2025).

  11. 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 June 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of April 30, 2025. Found during a complaint inspection.

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

  13. 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 February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2024).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2024).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2024).

  16. 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 February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2024).

  17. 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 February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Address patient/client population and determine types of services needed.

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

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Include a process for Emergency Preparedness collaboration.

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

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Establish policies and procedures for medical documentation.

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

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Establish policies and procedures for volunteers.

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

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

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

    Establish methods for sharing information.

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

    Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 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.