All citations for Horizon Post Acute

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 Horizon Post Acute

Last standard health inspection on record

June 3, 2026

Showing 1 to 25 of 51 citations

Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Widespread (many residents). CMS level L.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
Immediate jeopardy to resident health or safety
Respond appropriately to all alleged violations.
Widespread (many residents). CMS level L.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pattern (more than a few residents). CMS level K.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 30, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 23, 2024).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Widespread (many residents). CMS level F.
Health citation F-0584, Resident Rights Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Widespread (many residents). CMS level F.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Widespread (many residents). CMS level F.
Health citation F-0835, Administration Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Widespread (many residents). CMS level F.
Health citation F-0919, Environmental Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
No harm, with potential for more than minimal harm
Establish policies and procedures for medical documentation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
No harm, with potential for more than minimal harm
Provide family notifications of emergency plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
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 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
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 May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 2023).
No harm, with potential for more than minimal harm
Have properly sized and located compartments to protect residents from smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0371, Smoke Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 26, 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.