All citations for Carriage Hill Health & Rehab 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 Carriage Hill Health & Rehab Center

Last standard health inspection on record

June 7, 2023

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 27 citations

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2019).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2019).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  13. 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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  14. 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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  17. 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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  18. 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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

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

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

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

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  20. 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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2019).

  21. 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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

  22. 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 August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 8, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.