All citations for Holy Cross Rehabilitation and Wellness

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 Holy Cross Rehabilitation and Wellness

Last standard health inspection on record

April 28, 2025

Showing 1 to 21 of 21 citations

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2025).

  3. 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 April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  5. 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 April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  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 April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  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 April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 28, 2025. Found during a standard inspection.

    The home has a plan to correct it (July 6, 2025).

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  10. 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 May 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  12. 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 May 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  13. 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 April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  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 April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of April 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  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 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  19. 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 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  21. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

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.