All citations for Lily Springs Rehabilitation and Healthcare 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 Lily Springs Rehabilitation and Healthcare Center

Last standard health inspection on record

June 24, 2026

Showing 1 to 25 of 59 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

  2. 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 May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

  3. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  4. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of March 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  5. Harm to a resident

    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 G.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2024).

  6. Harm to a resident

    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 G.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of June 24, 2026. Found during a standard inspection.

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

  8. 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 24, 2026. Found during a standard inspection.

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

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

    Have policies on smoking.

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

    Health citation F-0926, Environmental Deficiencies. Inspection of June 24, 2026. Found during a standard inspection.

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

  10. 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 June 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2026).

  11. 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 July 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

  13. 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 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

  14. 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 May 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

  15. 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 May 5, 2025. Found during a standard inspection.

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

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

    Employ staff that are licensed, certified, or registered in accordance with state laws.

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

    Health citation F-0839, Administration Deficiencies. Inspection of March 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

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

    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

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

    Health citation F-0620, Resident Rights Deficiencies. Inspection of October 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  18. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2024).

  19. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

  20. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.

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

  21. 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 January 31, 2024. Found during a standard inspection.

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

  22. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.

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

  23. 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.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 31, 2024. Found during a standard inspection and a complaint inspection.

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

  24. 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 January 31, 2024. Found during a standard inspection.

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

  25. 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 January 31, 2024. Found during a standard inspection.

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

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.