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 26 to 48 of 48 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 18, 2025. Found during a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of November 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  13. 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 October 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 8, 2024. Found during a complaint inspection.

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

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

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

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

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

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

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

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

  19. 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 October 26, 2023. Found during a standard inspection.

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

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

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

  21. 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 October 26, 2023. Found during a standard inspection.

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

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

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

  23. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2024).

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.