All citations for Polaris Extended Care

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 Polaris Extended Care

Last standard health inspection on record

May 22, 2025

Showing 1 to 24 of 24 citations

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0700, Miscellaneous Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  9. 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 April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2023).

  11. 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 April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  15. 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 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  18. 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 April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  19. 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 April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  20. 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 April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  21. 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 April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  23. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

  24. 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 April 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 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.