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 54 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 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

    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

    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).

  16. 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).

  17. 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.

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous 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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 16, 2023. Found during a standard inspection.

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