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 26 to 50 of 124 citations

  1. 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.

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, 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).

  21. 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 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

    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).

  23. 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).

  24. 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).

  25. 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).

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.