All citations for Ontario Center for Rehabilitation and Healthcare

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 Ontario Center for Rehabilitation and Healthcare

Last standard health inspection on record

January 31, 2025

Showing 1 to 25 of 56 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  2. Harm to a resident

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  3. Harm to a resident

    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 G.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Widespread (many residents). CMS level F.

    Health citation F-0919, Environmental Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2023).

  8. 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 March 17, 2026. Found during a complaint inspection.

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

  9. 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 March 17, 2026. Found during a complaint inspection.

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

  10. 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 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of March 17, 2026. Found during a complaint inspection.

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

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of January 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  13. 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 January 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  14. 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 January 31, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  15. 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 January 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  17. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

  18. 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 January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2023).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2021).

  21. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2021).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2021).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2021).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2021).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2021).

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.