All citations for Nursing and Rehabilitation Center at Good Shepherd

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 Nursing and Rehabilitation Center at Good Shepherd

Last standard health inspection on record

January 15, 2026

Showing 1 to 25 of 35 citations

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

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

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

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

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

  6. 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 November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

  9. 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 November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 4, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

  15. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 4, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

  17. 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 October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2024).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

  22. No harm, with potential for more than 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 E.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

  23. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2023).

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.