Facility profile · CCN 455682
Afton Oaks Nursing And Rehabilitation Center
38 federal citations on record , including 13 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $92,576.
Record summary
Federal record · Q1 202638
Total citations
35
Last 3 years
16
Actual harm+
3
Federal penalties
$92,576
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
38 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 14, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 21, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Oct 27, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| Oct 27, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Oct 27, 2025 | F760 | Ensure that residents are free from significant medication errors. | K | Complaint |
| Oct 27, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | K | Complaint |
| Oct 27, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | K | Complaint |
| Oct 27, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint |
| Oct 27, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Oct 27, 2025 | F584 | 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. | E | Complaint |
| Oct 27, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint |
| Oct 27, 2025 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint |
| Jul 11, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 9, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint |
| Apr 9, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint |
| Apr 9, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 9, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Apr 9, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Apr 9, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Apr 9, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 9, 2025 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Apr 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Apr 1, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Apr 1, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 13, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Mar 13, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Nov 27, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 27, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Nov 14, 2024 | F585 | Honor 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. | D | Complaint |
| Sep 13, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| Sep 13, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 13, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint |
| Sep 13, 2023 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Sep 13, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint |
| Sep 13, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint |
| Mar 7, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Nov 10, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Nov 10, 2022 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $92,576 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 14, 2026 | Fine | $22,315 | — |
| Oct 27, 2025 | Fine | $50,400 | — |
| Sep 13, 2023 | Fine | $19,861 | — |
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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