All citations for Notre Dame Health and Rehabilitation 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 Notre Dame Health and Rehabilitation Center

Last standard health inspection on record

August 27, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 15 of 15 citations

  1. 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.

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

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

  3. 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 August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

  5. 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 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

  6. 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 August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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.