All citations for Sapphire Rehabilitation and Care 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 Rehabilitation and Care Center

Last standard health inspection on record

September 22, 2025

Showing 51 to 75 of 111 citations

  1. 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 June 27, 2023. Found during a standard inspection.

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

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

  3. 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 May 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  4. 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 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 19, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of January 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 3, 2026).

  7. 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 December 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of December 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  9. 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 December 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  11. 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 September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  13. 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 September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  14. 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 September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  15. 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 September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

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

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

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

    Health citation F-0646, Resident Assessment and Care Planning Deficiencies. Inspection of September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  17. 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, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  19. 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 September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  20. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

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

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

    Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  22. 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 September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  23. 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, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  24. 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 September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of September 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.