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 74 citations

  1. Immediate jeopardy to resident health or safety

    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.

    Widespread (many residents). CMS level L.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  2. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 12, 2025).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

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

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

    Widespread (many residents). CMS level F.

    Health citation F-0843, Administration Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    Widespread (many residents). CMS level F.

    Health citation F-0923, Environmental Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  8. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2023).

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

    Health citation F-0838, Administration Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  12. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  15. 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.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  16. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 30, 2023).

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

    Put firmly secured handrails on each side of hallways.

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

    Health citation F-0924, Environmental Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  21. 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 May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  25. 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 May 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2023).

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.