All citations for Eagle Pointe Skilled Nursing & Rehab

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 Eagle Pointe Skilled Nursing & Rehab

Last standard health inspection on record

March 20, 2025

Showing 1 to 25 of 46 citations

Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Pattern (more than a few residents). CMS level K.
Health citation F-0608, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2019).
Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pattern (more than a few residents). CMS level K.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2019).
Immediate jeopardy to resident health or safety
Respond appropriately to all alleged violations.
Pattern (more than a few residents). CMS level K.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2019).
Harm to a resident
Ensure that residents are free from significant medication errors.
Isolated (one or a few residents). CMS level G.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 10, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 11, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 23, 2025).
No harm, with potential for more than minimal harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
A waiver was granted (June 30, 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 20, 2025. Found during a standard inspection.
A waiver was granted (June 30, 2025).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Widespread (many residents). CMS level F.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 26, 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
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 26, 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
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 2022).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 2022).
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 October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 2022).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 2022).
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 October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 2022).
No harm, with potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Widespread (many residents). CMS level F.
Health citation F-0835, Administration Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2019).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2019).
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 October 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2019).
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 October 21, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2019).
No harm, with potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Pattern (more than a few residents). CMS level E.
Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 8, 2026. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (July 25, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 23, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 23, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 23, 2025).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0161, Construction Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 2022).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 21, 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.