All citations for The Ellison John Transitional Care 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 The Ellison John Transitional Care Center

Last standard health inspection on record

June 18, 2026

Showing 1 to 25 of 36 citations

  1. 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 November 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2025).

  2. 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.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  3. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  4. 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 June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  7. 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 June 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  8. 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 March 25, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  10. 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 March 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  11. 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 March 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 22, 2026).

  12. 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 December 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  13. 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 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  17. 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 June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  18. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  19. 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 June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  20. 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 June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  21. 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 June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  22. 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.

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

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  24. 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 June 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of June 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 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.