All citations for Shady Grove Nursing and Rehabilitation 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 Shady Grove Nursing and Rehabilitation Center

Last standard health inspection on record

May 8, 2026

Showing 1 to 25 of 41 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 16, 2025. Found during a complaint inspection.

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

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Widespread (many residents). CMS level F.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  3. 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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  4. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  6. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  7. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Provide care by qualified persons according to each resident's written plan of care.

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

    Health citation F-0659, Resident Assessment and Care Planning Deficiencies. Inspection of July 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 11, 2025).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of June 16, 2025. Found during a complaint inspection.

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

  11. 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 June 16, 2025. Found during a complaint inspection.

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

  12. 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 June 16, 2025. Found during a complaint inspection.

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

  13. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  15. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  17. 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 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  19. 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 March 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  20. 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.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  21. 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.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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

    Prepare residents for a safe transfer or discharge from the nursing home.

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

    Health citation F-0624, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  23. No harm, with potential for more than 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.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  24. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  25. 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 March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

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.