All citations for Shady Acres Health & 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 Shady Acres Health & Rehabilitation

Last standard health inspection on record

April 29, 2026

Showing 26 to 44 of 44 citations

  1. 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 April 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2026).

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

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

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 29, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2026).

  3. 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 February 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  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 February 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 20, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 26, 2024).

  6. 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 December 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 14, 2025).

  7. 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 December 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 14, 2025).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2023. Found during a standard inspection and a complaint inspection.

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

  9. 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 December 20, 2023. Found during a standard inspection.

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

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

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

  11. 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 December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2024).

  17. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 29, 2026. Found during a standard inspection.

    No plan of correction on record.

  18. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of February 12, 2025. Found during a standard inspection.

    A waiver was granted.

  19. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    A waiver was granted.

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.