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.

Back to Tanglewood Nursing & Rehabilitation

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 51 to 75 of 95 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

  8. 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 April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

  9. 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 April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

  10. 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 8, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2021).

  11. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 8, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2021).

  12. 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).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, 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).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, 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).

  15. 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 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).

  16. 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 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, 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).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, 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).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, 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).

  20. 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 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).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, 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).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, 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).

  23. 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 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).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, 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).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, 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).

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.