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 6 of 6 citations

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

  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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2021).

  3. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2021).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2021).

  5. 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 May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2021).

  6. 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 May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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.