All citations for Marlora Post Acute Rehab Hosp

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 Marlora Post Acute Rehab Hosp

Last standard health inspection on record

March 12, 2026

Showing 1 to 25 of 77 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

  2. Immediate jeopardy to resident health or safety

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 23, 2025. Found during a complaint inspection.

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

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

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

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

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

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2024).

  9. 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 December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

  14. 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 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

  15. 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 March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

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

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

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

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

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

  20. 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 December 8, 2025. Found during a complaint inspection.

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

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  22. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

  24. 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.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    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 E.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 3, 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.