All citations for Englewood 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 Englewood Health & Rehabilitation

Last standard health inspection on record

June 13, 2025

Showing 1 to 25 of 36 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

  2. Harm to a resident

    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 G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  3. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

  9. 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 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

  11. 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 12, 2023. Found during a standard inspection.

    A waiver was granted (May 13, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

  14. 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 12, 2023. Found during a standard inspection.

    A waiver was granted (May 13, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

  16. 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 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of April 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2023).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 3, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of August 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 3, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 3, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 3, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of March 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of March 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

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

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

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

    Health citation F-0606, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 29, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

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.