All citations for Neilson Place

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 Neilson Place

Last standard health inspection on record

March 5, 2026

Showing 1 to 19 of 19 citations

Harm to a resident
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 G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 9, 2025. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (November 12, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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 March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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 March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Assess the resident when there is a significant change in condition
Isolated (one or a few residents). CMS level D.
Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Isolated (one or a few residents). CMS level D.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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 March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Isolated (one or a few residents). CMS level D.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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 March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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 March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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 March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
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 March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).

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.