All citations for Pilgrim Manor Skilled Nursing and Rehabilitation

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 Pilgrim Manor Skilled Nursing and Rehabilitation

Last standard health inspection on record

February 25, 2026

Showing 1 to 22 of 22 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Widespread (many residents). CMS level L.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  2. Immediate jeopardy to resident health or safety

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

    Widespread (many residents). CMS level L.

    Health citation F-0835, Administration Deficiencies. Inspection of August 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  3. Immediate jeopardy to resident health or safety

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of August 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  4. 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.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 4, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 26, 2024).

  5. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 4, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 26, 2024).

  6. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 15, 2025).

  7. 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 February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  11. 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 December 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

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

    Health citation F-0851, Administration Deficiencies. Inspection of December 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  13. 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 January 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  15. 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, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  17. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

  18. 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 February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

  20. 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 February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

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

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

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 29, 2025).

  22. 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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 8, 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.