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 20 of 20 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, 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).

  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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

  13. 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 October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

  15. 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 October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, 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).

  19. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of October 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2019).

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.