All citations for Thalia Gardens Rehabilitation and Nursing

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 Thalia Gardens Rehabilitation and Nursing

Last standard health inspection on record

April 28, 2026

Showing 1 to 25 of 31 citations

  1. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 28, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Widespread (many residents). CMS level F.

    Health citation F-0887, Infection Control Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Widespread (many residents). CMS level F.

    Health citation F-0949, Administration Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of April 28, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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

    Health citation F-0577, Resident Rights Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

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

    Health citation F-0606, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 28, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  14. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 28, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  16. 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 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of April 28, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

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

    Health citation F-0941, Administration Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Give residents a notice of rights, rules, services and charges.

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

    Health citation F-0572, Resident Rights Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    The resident has the right to receive notices in a format and a language he or she understands.

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

    Health citation F-0574, Resident Rights Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  23. 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 April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  24. 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 April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

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.