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 76 to 100 of 117 citations

  1. 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).

  2. 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).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

  5. 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 June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

  6. 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 June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of June 3, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

  9. 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 June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

  14. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

  15. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of June 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  18. 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 February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  22. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  24. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

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.