All citations for Carriage Square Rehab and 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 Carriage Square Rehab and Healthcare Center

Last standard health inspection on record

March 14, 2025

Showing 1 to 22 of 22 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 14, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  2. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Widespread (many residents). CMS level F.

    Health citation F-0847, Administration Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0940, Administration Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Provide training in compliance and ethics.

    Widespread (many residents). CMS level F.

    Health citation F-0946, Administration Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  10. 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 June 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

  11. 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 June 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

  12. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

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

  13. 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 December 23, 2025. Found during a complaint inspection.

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

  14. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 3, 2025. Found during a complaint inspection.

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

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  16. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  17. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  18. 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 December 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2025).

  19. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 14, 2025. Found during a standard inspection and a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 3, 2025).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2025).

  22. No harm, with potential for minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of January 27, 2026. Found during a complaint inspection.

    The home has a plan to correct it (January 28, 2026).

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.