All citations for South Mountain Rehab 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 South Mountain Rehab Center

Last standard health inspection on record

March 6, 2026

Showing 1 to 25 of 41 citations

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

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  2. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  3. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  5. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  6. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  8. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  9. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  12. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  13. 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 December 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  15. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  17. 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.

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

    Health citation F-0836, Administration Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  18. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  19. 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 December 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 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 December 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  23. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  24. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  25. 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 December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 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.