Guardian Care and Rehabilitation Center Complaints, Violations and Inspection Records

June 30, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop, implement, and/or maintain an effective training program for all new and existing staff members.

• F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members. (scope and severity D)

June 23, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide care and assistance to perform activities of daily living for any resident who is unable.

• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)

March 19, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely and ensure that residents are fully informed and understand their health status, care and treatments.

• F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (scope and severity E)
• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)

February 20, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity D)

February 6, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

January 6, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

January 2, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident and respond appropriately to all alleged violations.

• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)

December 23, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards and provide safe and appropriate respiratory care for a resident when needed.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)

August 29, 2025, standard and complaint inspections

14 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, have a plan that describes the process for conducting qapi and qaa activities, and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)
• F0865Have a plan that describes the process for conducting QAPI and QAA activities. (scope and severity F)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
• F0610Respond appropriately to all alleged violations. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
• F0688Provide 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. (scope and severity D)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
• F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (scope and severity D)

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)
• F0778Help the resident make transportation arrangements to and from radiology services. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)

June 24, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards and dispose of garbage and refuse properly.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
• F0814Dispose of garbage and refuse properly. (scope and severity F)

June 6, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

March 6, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)

March 4, 2025, complaint inspection

3 deficiencies cited. Surveyors cited the facility for 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, provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights, and permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

• F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (scope and severity D)
• F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
• F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (scope and severity D)

August 19, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for 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.

• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)

July 19, 2024, standard and complaint inspections

19 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality, 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, and ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity E)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity E)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
• F0578Honor 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. (scope and severity D)
• F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (scope and severity D)
• F0583Keep residents' personal and medical records private and confidential. (scope and severity D)

• F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (scope and severity D)
• F0602Protect each resident from the wrongful use of the resident's belongings or money. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0679Provide activities to meet all resident's needs. (scope and severity D)
• F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0758Implement 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. (scope and severity D)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)

February 27, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)

August 8, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

July 27, 2023, standard inspection

12 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality, safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards, and provide and implement an infection prevention and control program.

• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (scope and severity D)

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)