All citations for Rowntree Gardens

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

December 11, 2025

Showing 51 to 72 of 72 citations

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

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

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

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

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

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

  4. 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 March 3, 2023. Found during a standard inspection.

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

  5. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

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

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

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

  7. 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 March 3, 2023. Found during a standard inspection.

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

  8. 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 March 3, 2023. Found during a standard inspection.

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

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

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

  10. 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 March 3, 2023. Found during a standard inspection.

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

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

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

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  14. 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 March 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  16. No harm, with potential for minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2025).

  17. No harm, with potential for minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2024).

  18. No harm, with potential for minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  19. No harm, with potential for minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2023).

  20. No harm, with potential for 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of December 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 11, 2026).

  21. No harm, with potential for minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  22. No harm, with potential for minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of October 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2024).

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.