All citations for Carmel Mountain Rehabilitation & Healthcare Center

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 Carmel Mountain Rehabilitation & Healthcare Center

Last standard health inspection on record

April 24, 2025

Showing 1 to 23 of 23 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  2. 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 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 12, 2026).

  3. 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 September 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 22, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

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

  5. 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 April 24, 2025. Found during a standard inspection.

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

  6. 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 April 24, 2025. Found during a standard inspection.

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

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

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

  8. 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 April 24, 2025. Found during a standard inspection.

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

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  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 April 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  11. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of September 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2025).

  12. 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 September 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2025).

  13. 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 September 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2025).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

    Health citation F-0835, Administration Deficiencies. Inspection of September 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 22, 2025).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

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

  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 April 24, 2025. Found during a standard inspection and a complaint inspection.

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

  17. 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 April 24, 2025. Found during a standard inspection.

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

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

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

  19. 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 April 24, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

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

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

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

  22. 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 April 24, 2025. Found during a standard inspection.

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

  23. 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 April 24, 2025. Found during a standard inspection.

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

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.