All citations for Immaculatemarycenter for Rehabilitation&healthcare

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 Immaculatemarycenter for Rehabilitation&healthcare

Last standard health inspection on record

March 26, 2026

Showing 1 to 25 of 70 citations

Immediate jeopardy to resident health or safety
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 J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 3, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 23, 2025).
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 March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
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 March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
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 March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
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 March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
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 March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0541, Services Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 8, 2026).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2025).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2025).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2025).
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 April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2025).
No harm, with potential for more than minimal harm
Dispose of garbage and refuse properly.
Pattern (more than a few residents). CMS level E.
Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2025).
No harm, with potential for more than minimal harm
Install noncombustible or limited-combustible interior walls.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0163, Construction Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 2025).
No harm, with potential for more than minimal harm
Have properly installed hallway dispensers for alcohol-based hand rub.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0325, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 2025).
No harm, with potential for more than minimal harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0342, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 2025).
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 April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 2025).
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 April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 2025).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 1, 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.