All citations for The Guardian 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 Guardian Center

Last standard health inspection on record

April 30, 2025

Showing 26 to 50 of 51 citations

  1. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

  2. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

  6. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2023).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

  10. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

  12. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

  13. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

  14. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

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

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Provide routine and 24-hour emergency dental care for each resident.

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

    Health citation F-0790, Quality of Life and Care Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

  20. 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 November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2023).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Perform COVID19 testing on residents and staff.

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

    Health citation F-0886, Infection Control Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2022).

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

    Have correct number of accessible exits for each story.

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

    Fire safety citation K-0241, Egress Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2023).

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

    Provide at least two remote exits on each floor or fire section of the building.

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

    Fire safety citation K-0252, Egress Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2022).

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.