All citations for Elmora Hills Health & Rehabilitation Center

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 Elmora Hills Health & Rehabilitation Center

Last standard health inspection on record

December 12, 2025

Showing 1 to 25 of 47 citations

No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 2026).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 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 December 12, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 2026).
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 December 12, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 2026).
No harm, with potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 25, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 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 April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2022).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 7, 2022).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0225, Egress Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2022).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Widespread (many residents). CMS level F.
Fire safety citation K-0281, Egress Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2022).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 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 April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2022).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 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 April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 14, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 25, 2024).
No harm, with potential for more than minimal harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Pattern (more than a few residents). CMS level E.
Health citation F-0944, Administration Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 2, 2024).
No harm, with potential for more than minimal harm
Provide training in compliance and ethics.
Pattern (more than a few residents). CMS level E.
Health citation F-0946, Administration Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 1, 2024).
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 August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 11, 2024).
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 August 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 11, 2024).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Pattern (more than a few residents). CMS level E.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2022).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0271, Egress Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 7, 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 April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 7, 2022).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 7, 2022).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Isolated (one or a few residents). CMS level D.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 27, 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.