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 51 to 75 of 106 citations

  1. 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 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

    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 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

    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 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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care 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 that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care 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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care 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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care 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

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

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

    Health citation F-0698, Quality of Life and Care 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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of April 12, 2024. Found during a standard inspection.

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

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

    Health citation F-0755, 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).

  11. 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.

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

    Health citation F-0756, 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of December 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 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.