All citations for Episcopal Church Home the Gardens
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.
Last standard health inspection on record
April 9, 2026
Showing 26 to 50 of 58 citations
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (November 4, 2024).
No harm, with potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (January 2, 2026).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
The home gave a date the problem would be corrected (October 29, 2025).
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.
The home gave a date the problem would be corrected (October 29, 2025).
No harm, with potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
The home gave a date the problem would be corrected (October 22, 2025).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (October 29, 2025).
No harm, with potential for more than minimal harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
The home gave a date the problem would be corrected (October 29, 2025).
No harm, with potential for more than minimal harm
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
The home gave a date the problem would be corrected (October 22, 2025).
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.
The home gave a date the problem would be corrected (June 27, 2025).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
The home gave a date the problem would be corrected (June 2, 2025).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (June 2, 2025).
No harm, with potential for more than minimal harm
Provide care by qualified persons according to each resident's written plan of care.
The home gave a date the problem would be corrected (November 4, 2024).
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.
The home gave a date the problem would be corrected (November 4, 2024).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (November 4, 2024).
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.
The home gave a date the problem would be corrected (November 4, 2024).
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.
The home gave a date the problem would be corrected (November 4, 2024).
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.
The home gave a date the problem would be corrected (November 4, 2024).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
The home gave a date the problem would be corrected (October 30, 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.