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 27 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

    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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  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.

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

    Health citation F-0677, 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).

  17. 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 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

    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 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

    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 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).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, 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).

  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 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

    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 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

    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 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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, 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).

  25. 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 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.