All citations for Mt Zion Health & 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 Mt Zion Health & Rehab Center

Last standard health inspection on record

January 7, 2026

Showing 1 to 21 of 21 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 December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2022).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2022).

  3. 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 December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2022).

  4. 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 December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2022).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2022).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2022).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2022).

  8. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2022).

  9. 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, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2022).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2022).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 28, 2024).

  12. 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 May 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2024).

  13. 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 December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2022).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2022).

  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 December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2022).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2022).

  17. 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 December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2022).

  18. 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, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2022).

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

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

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2022).

  20. No harm, with potential for minimal harm

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Widespread (many residents). CMS level C.

    Health citation F-0575, Resident Rights Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home has a plan to correct it (December 23, 2022).

  21. No harm, with potential for minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Widespread (many residents). CMS level C.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of December 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2022).

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.