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 30 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

    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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

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

    Establish emergency prep training and testing.

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

    Emergency preparedness citation E-0036, 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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, 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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress 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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress 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

    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 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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

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

    Fire safety citation K-0346, 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).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, 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).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, 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).

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.