All citations for Pelham Parkway Nursing Care And Rehabilitation Fac

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 Pelham Parkway Nursing Care And Rehabilitation Fac

Last standard health inspection on record

August 26, 2025

Showing 1 to 25 of 35 citations

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of April 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2021).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2025).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    The resident has the right to receive notices in a format and a language he or she understands.

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

    Health citation F-0574, Resident Rights Deficiencies. Inspection of June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

  5. 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 June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2023).

  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 June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

  8. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2021).

  9. 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 April 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2021).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2021).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2021).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2021).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 25, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 4, 2025. Found during a complaint inspection.

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

  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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2025).

  16. 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 August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2025).

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

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

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 31, 2025).

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

    Give residents a notice of rights, rules, services and charges.

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

    Health citation F-0572, Resident Rights Deficiencies. Inspection of June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

  21. 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 June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

  22. 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 June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

  23. 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 June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

  24. 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 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 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.