All citations for Complete Care at Inglemoor, LLC

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 Complete Care at Inglemoor, LLC

Last standard health inspection on record

March 13, 2025

Showing 1 to 25 of 59 citations

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 March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Widespread (many residents). CMS level F.
Fire safety citation K-0223, Egress Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0225, Egress Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
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 March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0541, Services Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2023).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 15, 2023).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Widespread (many residents). CMS level F.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.
A waiver was granted (March 15, 2023).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of May 5, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2021).
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 May 5, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2021).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 5, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (July 27, 2021).
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 March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Pattern (more than a few residents). CMS level E.
Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 11, 2025).

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.