All citations for Southwestern Manor Nursing and 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 Southwestern Manor Nursing and Rehabilitation

Last standard health inspection on record

January 24, 2025

Showing 1 to 25 of 25 citations

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

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

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

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

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  5. 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 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  6. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

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

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

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

    Health citation F-0575, Resident Rights Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  13. 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 15, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  14. 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 December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  16. 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 December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

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

    Ensure the activities program is directed by a qualified professional.

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

    Health citation F-0680, Quality of Life and Care Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  18. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

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

    Health citation F-0838, Administration Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  20. No harm, with potential for minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level C.

    Health citation F-0944, Administration Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  21. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

  22. No harm, with potential for minimal harm

    Meet other general requirements.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

  23. No harm, with potential for minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2024).

  24. 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 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2024).

  25. 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 December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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.