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 76 to 88 of 88 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2025).

  11. No harm, with potential for minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2025).

  12. No harm, with potential for minimal harm

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

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

    Health citation F-0848, Administration Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

  13. No harm, with potential for minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, 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).

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.