All citations for Our Ladys Center for Rehabilitation & 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 Our Ladys Center for Rehabilitation & Healthcare

Last standard health inspection on record

June 16, 2026

Showing 1 to 17 of 17 citations

  1. 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 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  2. 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 November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  4. 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 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  8. 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 November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  9. 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 November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  10. 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 November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  11. 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 November 22, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  14. 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 November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  15. 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 November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  16. 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.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 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.