All citations for Hawthorne Healthcare & Wellness Centre, LP

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 Hawthorne Healthcare & Wellness Centre, LP

Last standard health inspection on record

March 27, 2026

Showing 26 to 44 of 44 citations

  1. 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 January 24, 2025. Found during a standard inspection.

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

  2. 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 January 24, 2025. Found during a standard inspection.

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

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

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

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

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

  5. 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 January 24, 2025. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

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

  7. 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 January 26, 2024. Found during a standard inspection.

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

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 26, 2024. Found during a standard inspection.

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

  9. 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 26, 2024. Found during a standard inspection.

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

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of January 26, 2024. Found during a standard inspection.

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

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of January 26, 2024. Found during a standard inspection.

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

  12. 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 January 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 26, 2024. Found during a standard inspection.

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

  14. 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 January 26, 2024. Found during a standard inspection.

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

  15. 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 January 26, 2024. Found during a standard inspection.

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

  16. 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 October 10, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

  17. 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 October 10, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

  18. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

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

  19. No harm, with potential for minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

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

    Health citation F-0838, Administration Deficiencies. Inspection of March 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

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.