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 20 of 20 citations

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of January 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 15, 2024).

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

    Address patient/client population and determine types of services needed.

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

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of January 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 15, 2024).

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of January 4, 2024. Found during a complaint inspection.

    A waiver was granted.

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

    Protect each resident from the wrongful use of the resident's belongings or money.

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

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

  5. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2019).

  7. 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 March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2019).

  8. 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.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

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

    Prepare residents for a safe transfer or discharge from the nursing home.

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

    Health citation F-0624, Resident Rights Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

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

    Honor each resident's preferences, choices, values and beliefs.

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

    Health citation F-0675, Quality of Life and Care Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

  12. 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 March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

  13. 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.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2019).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2019).

  15. 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 March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2019).

  16. 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 March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2019).

  17. 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 March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2019).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2019).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2019).

  20. No harm, with potential for minimal harm

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 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.