All citations for Englewood Post Acute and 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 Post Acute and Rehabilitation

Last standard health inspection on record

November 7, 2024

Showing 1 to 25 of 34 citations

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 June 6, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 3, 2023).
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 March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 20, 2020).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 20, 2020).
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 November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 14, 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 November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 14, 2025).
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 6, 2023. Found during a standard inspection.
A waiver was granted (October 9, 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 June 6, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 21, 2023).
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 March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 20, 2020).
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 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (October 6, 2020).
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 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (October 12, 2020).
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 March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (September 23, 2020).
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 March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (September 23, 2020).
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 March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2020).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Pattern (more than a few residents). CMS level E.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2024).
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 November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2024).
No harm, with potential for more than minimal harm
Provide large enough exits.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0231, Egress Deficiencies. Inspection of November 7, 2024. Found during a standard inspection.
A waiver was granted (January 14, 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 November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 14, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 6, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 21, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Pattern (more than a few residents). CMS level E.
Health citation F-0561, Resident Rights Deficiencies. Inspection of March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 20, 2020).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0585, Resident Rights Deficiencies. Inspection of March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2020).
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 March 10, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 20, 2020).
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 November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2024).
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 November 7, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (November 30, 2024).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Isolated (one or a few residents). CMS level D.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2024).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Isolated (one or a few residents). CMS level D.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of November 7, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2024).

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.