All citations for Leisure Glen Post Acute Care Center

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 Leisure Glen Post Acute Care Center

Last standard health inspection on record

July 2, 2026

Showing 1 to 25 of 44 citations

  1. 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 July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2026).

  2. 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 July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2026).

  3. 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 July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2026).

  4. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

  6. 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 June 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 27, 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

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

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2024).

  9. 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 June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2024).

  10. 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 June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2024).

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

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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

    Health citation F-0808, Nutrition and Dietary Deficiencies. Inspection of February 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2026).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 2, 2026. Found during a standard inspection.

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

  15. 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 2, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

  16. 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 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

  17. 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 July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2026).

  18. 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 July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2026).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2026).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2026).

  21. 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 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  23. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2025).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 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.