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 26 to 50 of 51 citations

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, 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).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

  4. 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 May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

  6. 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 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, 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).

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

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

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

    Health citation F-0741, 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).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  12. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

  13. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, 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).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, 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).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, 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).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

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

    Health citation F-0646, Resident Assessment and Care Planning Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, 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).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, 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).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, 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).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, 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).

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.