All citations for English Oaks Convalescent & Rehabilitation Hospita

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 English Oaks Convalescent & Rehabilitation Hospita

Last standard health inspection on record

January 16, 2026

Showing 1 to 23 of 23 citations

  1. 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 September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

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

  7. 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 September 20, 2024. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  9. 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 February 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of October 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

    The home is disputing this citation.

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  12. 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 September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  13. 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 September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

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

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

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

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 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.