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 16 of 16 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

  7. 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 January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

  8. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Perform COVID19 testing on residents and staff.

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

    Health citation F-0886, 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).

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

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 3, 2024. Found during a complaint inspection.

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

  11. 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 January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician 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).

  13. 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 January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

  14. 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 January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

  15. 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 January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of January 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 15, 2023).

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.