All citations for Gordon Lane Care 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 Gordon Lane Care Center

Last standard health inspection on record

August 4, 2025

Showing 26 to 43 of 43 citations

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 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.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

  7. 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 April 12, 2024. Found during a standard inspection.

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

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

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

    Provide primary/alternate means for communication.

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

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  11. 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 April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  13. 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 April 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  14. No harm, with potential for 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 B.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  15. No harm, with potential for 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 B.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 7, 2024).

  16. No harm, with potential for minimal harm

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 7, 2024).

  17. No harm, with potential for 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 B.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

  18. No harm, with potential for 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 B.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.