All citations for Luxor Nursing & Rehabilitation at Mills Pond

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 Luxor Nursing & Rehabilitation at Mills Pond

Last standard health inspection on record

January 14, 2025

Showing 1 to 9 of 9 citations

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    Fire Safety Evaluation Survey (February 25, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

  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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

  4. 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 January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2025).

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

    The home gave a date the problem would be corrected (February 25, 2025).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

  8. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2025).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 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.