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 34 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. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

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

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

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

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

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of December 6, 2024. Found during a standard inspection.

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

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

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

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, 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).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of September 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  19. 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 August 21, 2025. Found during a complaint inspection.

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

  20. 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 28, 2025. Found during a complaint inspection.

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

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, 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).

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

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning 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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care 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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care 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.