All citations for Divine Rehabilitation and Nursing at Shane Hill

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 Divine Rehabilitation and Nursing at Shane Hill

Last standard health inspection on record

June 11, 2026

Showing 1 to 25 of 57 citations

No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2026).
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 June 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 10, 2026).
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 June 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 12, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2026).
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 10, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 17, 2024).
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 10, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 17, 2024).
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 April 10, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 17, 2024).
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 March 11, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 17, 2024).
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 11, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 17, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 2, 2024).
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 April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
No harm, with potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Widespread (many residents). CMS level F.
Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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 April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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 April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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 April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 10, 2026).
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 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2026).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 11, 2026).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 10, 2026).

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.