All citations for Shadelands Post Acute

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 Shadelands Post Acute

Last standard health inspection on record

May 14, 2026

Showing 1 to 25 of 42 citations

  1. 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 May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2026).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 14, 2026. Found during a standard inspection.

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

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

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0836, Administration Deficiencies. Inspection of May 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

  10. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

  12. 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 May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

  14. 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 May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

  16. 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 May 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2024).

  18. 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 August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 1, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 19, 2023. Found during a complaint inspection.

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

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 19, 2023. Found during a complaint inspection.

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

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 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 May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 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 May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

  25. 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 May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

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.