All citations for Shrewsbury Rehabilitation and Nursing at Southgate

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 Shrewsbury Rehabilitation and Nursing at Southgate

Last standard health inspection on record

March 12, 2026

Showing 1 to 25 of 30 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 September 19, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2026).

  3. 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 November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

  6. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

  7. 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 November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

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

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

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

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

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

  11. 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 December 6, 2023. Found during an infection control inspection.

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

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2023).

  13. 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 March 12, 2026. Found during a standard inspection.

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

  14. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2026).

  16. 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 November 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 28, 2025).

  17. 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 November 27, 2024. Found during a standard inspection.

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

  18. 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 November 27, 2024. Found during a standard inspection.

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

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

  20. 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 November 27, 2024. Found during a standard inspection.

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

  21. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

  22. 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 November 27, 2024. Found during a standard inspection.

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

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

    Provide hallway or ground-level exits in all residents' rooms.

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

    Fire safety citation K-0254, Egress Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

  25. 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 November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

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.