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 51 to 71 of 71 citations

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

  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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

  4. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Provide primary/alternate means for communication.

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

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2024).

  7. 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 May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2024).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2024).

  9. 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 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

  12. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

  14. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

  15. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

  16. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

  17. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2023).

  19. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2023).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2023).

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

    The home gave a date the problem would be corrected (May 23, 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.