All citations for Fresh River Healthcare

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 Fresh River Healthcare

Last standard health inspection on record

June 11, 2025

Showing 1 to 25 of 25 citations

  1. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

  3. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

  4. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

  7. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Install properly constructed and protected linen or trash chutes.

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

    Fire safety citation K-0541, Services Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of August 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2025).

  10. 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 March 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  11. 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 December 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  12. 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 December 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  13. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of December 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  14. 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 December 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

  16. 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 August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

  20. 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 August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

  21. 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 August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0500, Services Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

  23. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

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.