All citations for Hidden Waters Rehabilitation and Wellness 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 Hidden Waters Rehabilitation and Wellness Center

Last standard health inspection on record

December 12, 2025

Showing 1 to 25 of 30 citations

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  5. 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 December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  6. 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 December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

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

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  11. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  15. 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 December 12, 2025. Found during a standard inspection.

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

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

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

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

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

  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 December 12, 2025. Found during a standard inspection.

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

  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 December 12, 2025. Found during a standard inspection.

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

  20. 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 December 12, 2025. Found during a standard inspection.

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

  21. 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 December 12, 2025. Found during a standard inspection.

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

  22. 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 December 12, 2025. Found during a standard inspection.

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

  23. 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 December 12, 2025. Found during a standard inspection.

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

  24. 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 December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 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.