All citations for Mt Macrina Manor

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 Mt Macrina Manor

Last standard health inspection on record

July 30, 2026

Showing 1 to 13 of 13 citations

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

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

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

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

    Health citation F-0945, Infection Control Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  7. No harm, with potential for 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 C.

    Health citation F-0941, Administration Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  8. No harm, with potential for minimal harm

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

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  9. No harm, with potential for minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  10. No harm, with potential for minimal harm

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  11. No harm, with potential for minimal harm

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

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

    Health citation F-0942, Resident Rights Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  12. No harm, with potential for minimal harm

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

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

    Health citation F-0944, Administration Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

  13. No harm, with potential for minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

    Health citation F-0949, Administration Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 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.