All citations for Thorne Crest Retirement 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 Thorne Crest Retirement Center

Last standard health inspection on record

January 27, 2026

Showing 1 to 25 of 26 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 December 26, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (December 19, 2025).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 27, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Widespread (many residents). CMS level F.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 27, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Widespread (many residents). CMS level F.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  6. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  9. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

  10. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

  11. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

  12. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  15. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  17. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  18. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2026).

  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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  20. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  21. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  22. 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 January 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  23. 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 September 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

  24. 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 September 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

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.