All citations for Sapphire Ridge Health and Rehabilitation

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 Ridge Health and Rehabilitation

Last standard health inspection on record

May 7, 2026

Showing 1 to 25 of 25 citations

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

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

    Health citation F-0626, Resident Rights Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  8. 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 November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  9. 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.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  10. 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 November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  13. 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 November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  14. 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 November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  17. 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 November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  18. 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 November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  25. No harm, with potential for minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 17, 2023. Found during a standard inspection and a complaint inspection.

    The home has a plan to correct it (December 15, 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.