All citations for Saint Joseph Transitional 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 Saint Joseph Transitional Rehabilitation Center

Last standard health inspection on record

September 12, 2025

Showing 1 to 20 of 20 citations

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  2. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Develop Emergency Preparedness policies and procedures.

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

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Establish emergency prep training and testing.

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

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  8. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  14. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  15. 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 September 22, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  17. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  19. 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 September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2023).

  20. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 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.