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 18 of 18 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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 August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

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

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

  12. 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 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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation 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

    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 April 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 13, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 3, 2025. Found during a complaint inspection.

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

  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 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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 3, 2025. Found during a complaint inspection.

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

  18. 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 October 8, 2024. Found during a complaint inspection.

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