All citations for Hawthorn Glen Nursing 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 Hawthorn Glen Nursing Center

Last standard health inspection on record

July 31, 2025

Showing 1 to 22 of 22 citations

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  3. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Have an alternate power supply for its alarm system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  13. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  14. 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 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  16. 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 November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  17. 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 November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  18. 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 November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  19. 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 November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  20. 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 November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  21. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home has a plan to correct it (December 9, 2019).

  22. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home has a plan to correct it (December 9, 2019).

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.