Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265539

Aegis Health And Rehabilitation

69 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $275,739.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
69
Total citations
45
Last 3 years
5
Actual harm+
3
Federal penalties
$275,739
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care20 Resident Rights14 Medication & Pharmacy10 Care Planning7 Nutrition & Dietary7

Most common F-tags at this facility

F6843 F7613 F6773 F6973 F6792

Citation history

69 on record
SurveyF-TagViolationSeveritySource
Sep 16, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 30, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
May 30, 2025F880Provide and implement an infection prevention and control program.EStandard
May 30, 2025F761Ensure 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.EStandard
May 30, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EStandard
May 30, 2025F699Provide care or services that was trauma informed and/or culturally competent.EStandard
May 30, 2025F679Provide activities to meet all resident's needs.EStandard
May 21, 2024F759Ensure medication error rates are not 5 percent or greater.EComplaint
Apr 9, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EComplaint
Apr 9, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Apr 9, 2024F759Ensure medication error rates are not 5 percent or greater.EComplaint
Apr 9, 2024F881Implement a program that monitors antibiotic use.EStandard
Apr 9, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 9, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 9, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Apr 9, 2024F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DStandard
Apr 9, 2024F761Ensure 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.EStandard
Apr 9, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 9, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Apr 9, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 9, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 9, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Apr 9, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 9, 2024F641Ensure each resident receives an accurate assessment.DStandard
Apr 9, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Dec 11, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Dec 11, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Dec 11, 2023F809Ensure 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.FComplaint
Dec 11, 2023F803Ensure 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.EComplaint
Dec 11, 2023F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EComplaint
Dec 11, 2023F727Have 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.FComplaint
Dec 11, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.LComplaint
Dec 11, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Dec 11, 2023F697Provide safe, appropriate pain management for a resident who requires such services.HComplaint
Dec 11, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Dec 11, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Dec 11, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.KComplaint
Dec 11, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 11, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Dec 11, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
Dec 11, 2023F584Honor 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
Jun 8, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jun 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 1, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Aug 5, 2022F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Aug 5, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 5, 2022F761Ensure 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.EStandard
Aug 5, 2022F758Implement 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.EStandard
Aug 5, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 5, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Aug 5, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 5, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 5, 2022F679Provide activities to meet all resident's needs.EStandard
Aug 5, 2022F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Aug 5, 2022F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Aug 5, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 5, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 5, 2022F625Notify 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.EStandard
Aug 5, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Aug 5, 2022F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Aug 5, 2022F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Aug 5, 2022F584Honor 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.DStandard
Aug 5, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.CStandard
Aug 5, 2022F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CStandard
Aug 5, 2022F567Honor the resident's right to manage his or her financial affairs.DStandard
Aug 5, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Aug 5, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 1 civil money penalties totaling $275,739 and 2 payment-denial actions spanning 21 days.

DateTypeFinePayment denial
Apr 9, 2024Payment Denial—Jun 21, 2024 · 4 days
Dec 11, 2023Fine$275,739—
Dec 11, 2023Payment Denial—Jan 12, 2024 · 17 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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