All citations for Deep Creek Health & Rehabilitation

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 Deep Creek Health & Rehabilitation

Last standard health inspection on record

September 19, 2025

Showing 1 to 25 of 44 citations

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

  2. 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 April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  4. 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.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    A waiver was granted (December 7, 2020).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 16, 2023. Found during a complaint inspection.

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

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  13. 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 April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  16. 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 April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Provide appropriate foot care.

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

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  19. 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 April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

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

    Health citation F-0810, Nutrition and Dietary Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  21. 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 April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  22. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  23. No harm, with potential for minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  24. No harm, with potential for minimal harm

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  25. No harm, with potential for minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

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.