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 76 to 100 of 111 citations

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

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

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

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

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

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

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 22, 2025. Found during a standard inspection.

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

  5. 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 March 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  6. 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 March 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of March 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

  8. 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 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  10. 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 May 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  11. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 30, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 22, 2024).

  12. 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 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  13. 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 February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  15. 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 February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  16. 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 February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

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

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of June 27, 2023. Found during a standard inspection.

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

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

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

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

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

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

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

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of June 27, 2023. Found during a standard inspection.

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

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of June 27, 2023. Found during a standard inspection.

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

  24. 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 February 27, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2020).

  25. 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 February 27, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2020).

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.