All citations for Pilot Butte Rehabilitation Center

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 Pilot Butte Rehabilitation Center

Last standard health inspection on record

September 19, 2025

Showing 1 to 22 of 22 citations

Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Widespread (many residents). CMS level F.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
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 February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
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 February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Perform COVID19 testing on residents and staff.
Widespread (many residents). CMS level F.
Health citation F-0886, Infection Control Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
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 February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pattern (more than a few residents). CMS level E.
Health citation F-0921, Environmental Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
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 April 17, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 14, 2024).
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 April 17, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 14, 2024).
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 April 17, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 14, 2024).
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 February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
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, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Provide care by qualified persons according to each resident's written plan of care.
Isolated (one or a few residents). CMS level D.
Health citation F-0659, Resident Assessment and Care Planning Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
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 February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
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 February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Provide appropriate foot care.
Isolated (one or a few residents). CMS level D.
Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0131, Construction Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0281, Egress Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 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.