All citations for Luna Wellness Rehabilitation, LLC

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 Luna Wellness Rehabilitation, LLC

Last standard health inspection on record

April 7, 2025

Showing 1 to 25 of 63 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2024. Found during a complaint inspection.

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

  2. Harm to a resident

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of March 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  3. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

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

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Widespread (many residents). CMS level F.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

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

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

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

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2023).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2023).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2023).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  15. 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 March 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  16. 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 March 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  18. 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 April 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

  19. 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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2024. Found during a complaint inspection.

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

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2024. Found during a complaint inspection.

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

  21. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 23, 2024. Found during a complaint inspection.

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

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of January 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  25. 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 January 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 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.