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 101 to 118 of 118 citations

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  2. 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 March 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  3. 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 March 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  4. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

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

    Have enough outside ventilation via a window or mechanical ventilation, or both.

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

    Health citation F-0923, Environmental Deficiencies. Inspection of March 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2024).

  6. 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 January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2021).

  7. 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

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2021).

  8. 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 January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2021).

  9. 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 January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2021).

  10. 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 January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2021).

  11. 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 January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2021).

  12. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2021).

  13. 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 January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2021).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2021).

  15. No harm, with potential for minimal harm

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2021).

  16. No harm, with potential for minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2021).

  17. No harm, with potential for minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2021).

  18. No harm, with potential for minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

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

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.