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 51 to 68 of 68 citations

  1. 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 May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2024).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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 October 1, 2026. Inspection results describe the home at the time of each inspection.