All citations for Ruleme 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 Ruleme Center

Last standard health inspection on record

January 23, 2026

Showing 1 to 25 of 25 citations

  1. Immediate jeopardy to resident health or safety

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of December 6, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 24, 2023).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

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

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  8. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2023).

  9. 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 January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  10. 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 January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  11. 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 January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  13. 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 January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  15. 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 January 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 13, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2024).

  17. 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 August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2024).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

    Health citation F-0835, Administration Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2024).

  20. 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 August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2024).

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of December 6, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 6, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2023).

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

    The home gave a date the problem would be corrected (May 18, 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.