All citations for The Gilbert Residence

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 Gilbert Residence

Last standard health inspection on record

October 7, 2025

Showing 1 to 25 of 34 citations

  1. 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 October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

  7. 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 October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  8. 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 September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

  16. 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 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2024).

  17. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

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

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

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.