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 12 of 12 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

    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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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 October 1, 2026. Inspection results describe the home at the time of each inspection.