All citations for Tanglewood Nursing & 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.

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Last standard health inspection on record

October 17, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 40 citations

  1. Immediate jeopardy to resident health or safety

    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 K.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 17, 2024. Found during a standard inspection and a complaint inspection.

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

  2. 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 October 17, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

  12. 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 October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  15. 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 October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

  17. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

  18. 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 October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

  19. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

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

    Provide large enough exits.

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

    Fire safety citation K-0231, Egress Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

  22. 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 October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

  24. 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 October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  25. 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 October 17, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

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.