All citations for The Gardens at Aldersgate

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 Gardens at Aldersgate

Last standard health inspection on record

January 7, 2026

Showing 1 to 25 of 44 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 October 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

  2. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  4. 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 February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  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 February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

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

    Establish an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

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

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

  10. 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 February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

  12. 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 February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

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

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2024).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  16. 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 February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  17. 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 February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 16, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 9, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of December 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  22. 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 February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  24. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  25. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 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.