All citations for Mallard Bay Nursing and Rehab

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 Mallard Bay Nursing and Rehab

Last standard health inspection on record

September 5, 2025

Showing 1 to 24 of 24 citations

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2022).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2022).

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

    Meet other general requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0200, Egress Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2022).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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

    The home gave a date the problem would be corrected (January 16, 2026).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2022).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of August 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2022).

  19. 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 August 26, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2022).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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.