All citations for Garden Crest Rehabilitation Center

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 Garden Crest Rehabilitation Center

Last standard health inspection on record

December 17, 2025

Showing 1 to 25 of 45 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 16, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of November 15, 2024. Found during a standard inspection.

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

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2026).

  4. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2026).

  5. 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 December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2026).

  6. 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.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of August 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2025).

  7. 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 February 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of November 15, 2024. Found during a standard inspection.

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

  9. 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 July 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 20, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2024).

  11. 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 January 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  13. 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 November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    A waiver was granted (January 12, 2024).

  15. 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 May 12, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

  17. 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 January 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

  18. 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 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2025).

  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 August 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2025).

  21. 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 August 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 20, 2025).

  22. 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 May 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2025).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of May 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 12, 2025. Found during a complaint inspection.

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

  25. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of November 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 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.