All citations for Sapphire Care and Rehab 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 Sapphire Care and Rehab Center

Last standard health inspection on record

June 30, 2026

Showing 1 to 25 of 27 citations

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  4. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  7. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  9. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  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 October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  13. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 11, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

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

    Health citation F-0917, Environmental Deficiencies. Inspection of October 11, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

  15. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  16. 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 October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  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 October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  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 October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  22. 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 October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of October 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of September 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 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.