All citations for Mitchell-Hollingsworth Nursing & Rehabilitation

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 Mitchell-Hollingsworth Nursing & Rehabilitation

Last standard health inspection on record

September 18, 2025

Showing 1 to 18 of 18 citations

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 2, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2018).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

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

    Fire safety citation K-0343, Smoke Deficiencies. Inspection of September 5, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2019).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 2, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2018).

  5. 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.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 18, 2025. Found during a standard inspection and a complaint inspection.

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

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

    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 D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

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

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

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

  8. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

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

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

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

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

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

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

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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

    Health citation F-0635, Resident Assessment and Care Planning Deficiencies. Inspection of September 5, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2019).

  12. 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, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2019).

  13. 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 September 5, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2019).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 2, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2018).

  15. 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 August 2, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2018).

  16. 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 August 2, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2018).

  17. 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 August 2, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2018).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 2, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2018).

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.