All citations for Complete Care at Shrewsbury 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 Shrewsbury LLC

Last standard health inspection on record

September 25, 2025

Showing 26 to 43 of 43 citations

  1. 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 September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2025).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of September 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2025).

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

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

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

    Health citation F-0606, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2024. Found during a complaint inspection.

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

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of May 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 30, 2024. Found during a standard inspection and a complaint inspection.

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

  9. 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 May 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 30, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of May 30, 2024. Found during a standard inspection and a complaint inspection.

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

  12. 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 May 30, 2024. Found during a standard inspection and a complaint inspection.

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

  13. 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 May 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2022).

  15. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2022).

  16. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2022).

  17. 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 March 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2022).

  18. No harm, with potential for minimal harm

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2022).

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.