All citations for The Sapphire at Northwoods

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 Sapphire at Northwoods

Last standard health inspection on record

January 7, 2026

Showing 1 to 25 of 31 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 February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2026).

  2. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2025).

  3. 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 September 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2025).

  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 May 14, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 27, 2026).

  5. 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 January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Widespread (many residents). CMS level F.

    Health citation F-0887, Infection Control Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

  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 October 23, 2024. Found during a standard inspection.

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

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

  12. 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 October 23, 2024. Found during a standard inspection.

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

  13. 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 October 23, 2024. Found during a standard inspection.

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

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  15. 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 January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

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

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of February 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  25. 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 January 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

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.