All citations for Primrose Post-Acute

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 Primrose Post-Acute

Last standard health inspection on record

July 10, 2026

Showing 1 to 23 of 23 citations

  1. 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 May 23, 2025. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 23, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

  4. 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 May 23, 2025. Found during a standard inspection.

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

  5. 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 May 23, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

  8. 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 May 23, 2025. Found during a standard inspection.

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

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 15, 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 May 23, 2025. Found during a standard inspection.

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

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of May 23, 2025. Found during a complaint inspection.

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

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

  13. 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 23, 2025. Found during a standard inspection.

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

  14. 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 May 23, 2025. Found during a standard inspection.

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

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

  18. 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 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

  19. 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 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 25, 2024).

  20. 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 October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  21. 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 October 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

  22. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

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

  23. No harm, with potential for minimal harm

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

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

    Health citation F-0912, Environmental Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    A waiver was granted (June 15, 2025).

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.