All citations for Pearl of Elk Grove, the

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 Pearl of Elk Grove, the

Last standard health inspection on record

December 19, 2025

Showing 51 to 75 of 77 citations

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of November 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2024).

  6. 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 November 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2024).

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

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

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of November 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2024).

  8. 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 October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  9. 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 October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  13. 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 October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 1, 2024).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 1, 2024).

  16. 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 August 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

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

    Health citation F-0626, Resident Rights Deficiencies. Inspection of August 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  18. 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 August 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  19. 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 June 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2024).

  20. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 21, 2024).

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

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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

    Health citation F-0577, Resident Rights Deficiencies. Inspection of December 19, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of September 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of September 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

  25. 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 September 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 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.