All citations for Pillar of Cedar Valley

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.

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Last standard health inspection on record

November 17, 2025

Showing 1 to 24 of 24 citations

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  2. 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.

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

    Health citation F-0577, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  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 June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  4. 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 December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

  5. 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 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

  7. 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.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

  8. 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 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

  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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

  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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

  11. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

  14. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  15. 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 October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  16. 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 3, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  17. 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 3, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

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

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

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

    Provide bedrooms that have direct access to an exit hallway.

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

    Health citation F-0913, Environmental Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

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

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

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

    Health citation F-0914, Environmental Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  22. 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 October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  23. 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 June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2023).

  24. 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 June 29, 2023. Found during a standard inspection.

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