Ashland Nursing and Rehabilitation

906 Thompson Street, Ashland, VA 23005 · (804) 798-3291
For profit - Corporation · 190 certified beds

Ashland Nursing and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2024, found 65 citations (the Virginia average is 14.3). It was fined 1 time in the last three years, $36,491 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on February 9, 2024 found 65 citations. What an inspection citation means

• Ensure the activities program is directed by a qualified professional.February 9, 2024 · F0680 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 9, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 9, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.February 9, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 9, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.February 9, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFebruary 9, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 9, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 9, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.February 9, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.February 9, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.February 9, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 9, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 9, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe and appropriate respiratory care for a resident when needed.February 9, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe, appropriate pain management for a resident who requires such services.February 9, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.February 9, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 9, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.February 9, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Observe each nurse aide's job performance and give regular training.February 9, 2024 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 9, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 9, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.February 9, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 9, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.February 9, 2024 · F0843 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop, implement, and/or maintain an effective training program for all new and existing staff members.February 9, 2024 · F0940 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.February 9, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.February 9, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are fully informed and understand their health status, care and treatments.February 9, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.February 9, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.February 9, 2024 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.February 9, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 9, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 9, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 9, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 9, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.February 9, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesFebruary 9, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor each resident's preferences, choices, values and beliefs.February 9, 2024 · F0675 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.February 9, 2024 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 9, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate foot care.February 9, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 9, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 9, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.February 9, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.February 9, 2024 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.February 9, 2024 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that the resident and his/her doctor meet face-to-face at all required visits.February 9, 2024 · F0712 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.February 9, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.February 9, 2024 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.February 9, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.February 9, 2024 · F0776 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.February 9, 2024 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.February 9, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.February 9, 2024 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide special eating equipment and utensils for residents who need them and appropriate assistance.February 9, 2024 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.February 9, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 9, 2024 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.February 9, 2024 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.February 9, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.February 9, 2024 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.February 9, 2024 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.February 9, 2024 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide training in compliance and ethics.February 9, 2024 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide behavior health training consistent with the requirements and as determined by a facility assessment.February 9, 2024 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 92 citations.

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 2, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 2, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.July 2, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow residents to self-administer drugs if determined clinically appropriate.March 18, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 18, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 18, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 18, 2026 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.March 18, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.March 18, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 18, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Post nurse staffing information every day.March 18, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.March 18, 2026 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.March 18, 2026 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.March 18, 2026 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.March 18, 2026 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide behavior health training consistent with the requirements and as determined by a facility assessment.March 18, 2026 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow resident to participate in the development and implementation of his or her person-centered plan of care.August 21, 2025 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.August 21, 2025 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to organize and participate in resident/family groups in the facility.August 21, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 21, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.August 21, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 21, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.August 21, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.August 21, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.August 21, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.August 21, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 21, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.August 21, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 21, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.August 21, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure the activities program is directed by a qualified professional.August 21, 2025 · F0680 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate foot care.August 21, 2025 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 21, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.August 21, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Observe each nurse aide's job performance and give regular training.August 21, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.August 21, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.August 21, 2025 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 21, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.August 21, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.August 21, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.August 21, 2025 · F0840 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 21, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.August 21, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAugust 21, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.August 21, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.August 21, 2025 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.August 21, 2025 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.August 21, 2025 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.August 21, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.August 21, 2025 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide training in compliance and ethics.August 21, 2025 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.August 21, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide behavior health training consistent with the requirements and as determined by a facility assessment.August 21, 2025 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 11, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 11, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 11, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe and appropriate respiratory care for a resident when needed.April 11, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.April 11, 2024 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Observe each nurse aide's job performance and give regular training.April 11, 2024 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.April 11, 2024 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 11, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 9, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 9, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 9, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 9, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFebruary 9, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 9, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 9, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.February 9, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.February 9, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.February 9, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 9, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 9, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate foot care.February 9, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 9, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 9, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.February 9, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 9, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.February 9, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.February 9, 2024 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 9, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.February 9, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 9, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.February 9, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 9, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.February 9, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 9, 2024 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.February 9, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.February 9, 2024 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.November 20, 2023 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.November 20, 2023 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.November 20, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $36,491March 18, 2026
• Medicare payment denial for 28 daysStarting June 18, 2026

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home