Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 17E210

Access Mental Health

45 federal citations on record , including 9 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $100,231.

Special Focus Status 9 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
Total citations
45
Last 3 years
11
Actual harm+
4
Federal penalties
$100,231
Total fines
—
Overall ★ rating

Most common violation categories here

Quality of Care12 Care Planning9 Infection Control5 Abuse & Neglect5 Resident Rights4

Most common F-tags at this facility

F6413 F6893 F6562 F6902 F8802

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Dec 10, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JComplaint
Dec 10, 2025F584Honor 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.EComplaint
Dec 10, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 10, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 10, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 10, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jun 23, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Jun 23, 2025F880Provide and implement an infection prevention and control program.FComplaint
Jun 23, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jun 23, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jun 23, 2025F759Ensure medication error rates are not 5 percent or greater.EComplaint
Jun 23, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Jun 23, 2025F641Ensure each resident receives an accurate assessment.EComplaint
Jun 23, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EComplaint
Jun 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jan 15, 2025F887Educate 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.DComplaint
Jan 15, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint
Jan 15, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jan 15, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Jan 15, 2025F758Implement 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.DComplaint
Jan 15, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Jan 15, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Jan 15, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Jan 15, 2025F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Jan 15, 2025F692Provide enough food/fluids to maintain a resident's health.GComplaint
Jan 15, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jan 15, 2025F688Provide 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.DComplaint
Jan 15, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jan 15, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 15, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Jan 15, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Jan 15, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Oct 10, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.JComplaint
Oct 10, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.JComplaint
Feb 1, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Feb 1, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Feb 1, 2024F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.GComplaint
Feb 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jan 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jan 16, 2024F610Respond appropriately to all alleged violations.LComplaint
Jan 16, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.LComplaint
Jan 16, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Jun 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jun 14, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $100,231 and 2 payment-denial actions spanning 28 days.

DateTypeFinePayment denial
Jun 23, 2025Fine$64,643—
Jun 23, 2025Payment Denial—Jul 26, 2025 · 12 days
Jan 15, 2025Fine$35,588—
Jan 16, 2024Payment Denial—Feb 13, 2024 · 16 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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