All citations for Childrens Specialized Hospital Mountainside

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 Childrens Specialized Hospital Mountainside

Last standard health inspection on record

January 23, 2026

Showing 1 to 22 of 22 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 January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0132, Construction Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2024).

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

    Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0928, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

  10. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 19, 2024. Found during a complaint inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

  12. 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 June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2023).

  13. 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 June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2023).

  14. 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 June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  16. 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 January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2026).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  18. 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 July 19, 2024. Found during a complaint inspection.

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

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2023).

  20. 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 June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  21. 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 June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

  22. 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 June 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2023).

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.