All citations for Mission Pines Nursing and Rehab Center

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 Mission Pines Nursing and Rehab Center

Last standard health inspection on record

November 7, 2025

Showing 1 to 25 of 33 citations

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Establish procedures for tracking staff and patients during an emergency.

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

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Establish policies and procedures for medical documentation.

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

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Establish emergency prep training and testing.

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

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  8. 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 November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of October 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  11. 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 October 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  13. 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 October 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  14. 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 October 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

  15. 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 October 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

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

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

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

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  24. 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 November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  25. 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 November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.