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 26 to 50 of 67 citations

  1. 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).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 14, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2026).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  5. 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 December 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

  8. 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 February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Ensure proper storage of liquid oxygen.

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

    Fire safety citation K-0930, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  11. 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).

  12. 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).

  13. 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 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of May 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  15. 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 April 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 14, 2026).

  16. 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 January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

  17. 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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

  19. 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 January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

  20. 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 January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

  22. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of December 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

  23. 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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

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

    Provide care by qualified persons according to each resident's written plan of care.

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

    Health citation F-0659, Resident Assessment and Care Planning Deficiencies. Inspection of December 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 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.