Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056407

All Saints Healthcare Subacute

91 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $160,262.

Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
91
Total citations
73
Last 3 years
3
Actual harm+
2
Federal penalties
$160,262
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care25 Medication & Pharmacy17 Care Planning15 Infection Control12 Resident Rights9

Most common F-tags at this facility

F8808 F8425 F6865 F6094 F7554

Citation history

91 on record
SurveyF-TagViolationSeveritySource
Jan 29, 2026F887Educate 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 29, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Jan 8, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 8, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Nov 8, 2025F880Provide and implement an infection prevention and control program.EComplaint
Nov 8, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EComplaint
Nov 8, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 8, 2025F838Conduct 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.DComplaint
Nov 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jul 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
May 15, 2025F659Provide care by qualified persons according to each resident's written plan of care.DComplaint
May 15, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 2, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 29, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 12, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 8, 2024F880Provide and implement an infection prevention and control program.EComplaint
Nov 8, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 8, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Nov 8, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Oct 25, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 25, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Oct 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 25, 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
Oct 25, 2024F760Ensure that residents are free from significant medication errors.EStandard
Oct 25, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Oct 25, 2024F758Implement 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
Oct 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 25, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Oct 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 25, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard
Oct 25, 2024F693Ensure 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.EStandard
Oct 25, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Oct 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Oct 25, 2024F688Provide 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.EStandard
Oct 25, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 25, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Oct 25, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Oct 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 25, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Oct 25, 2024F584Honor 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
Oct 25, 2024F583Keep residents' personal and medical records private and confidential.EStandard
Oct 25, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jun 19, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jun 19, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 20, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Oct 20, 2023F881Implement a program that monitors antibiotic use.DStandard
Oct 20, 2023F880Provide and implement an infection prevention and control program.EStandard
Oct 20, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Oct 20, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 20, 2023F761Ensure 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.DStandard
Oct 20, 2023F760Ensure that residents are free from significant medication errors.KStandard
Oct 20, 2023F759Ensure medication error rates are not 5 percent or greater.KStandard
Oct 20, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 20, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 20, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Oct 20, 2023F700Try 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.EStandard
Oct 20, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Oct 20, 2023F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Oct 20, 2023F693Ensure 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.EStandard
Oct 20, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Oct 20, 2023F688Provide 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.DStandard
Oct 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Oct 20, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Oct 20, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 20, 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.EStandard
Oct 20, 2023F558Reasonably accommodate the needs and preferences of each resident.EStandard
Oct 20, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Aug 31, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 31, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jul 12, 2023F880Provide and implement an infection prevention and control program.DComplaint
Jul 12, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 24, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Mar 14, 2023F880Provide and implement an infection prevention and control program.DComplaint
Mar 14, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 31, 2022F881Implement a program that monitors antibiotic use.EStandard
Oct 31, 2022F880Provide and implement an infection prevention and control program.EStandard
Oct 31, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Oct 31, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 31, 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
Oct 31, 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.DStandard
Oct 31, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Oct 31, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Oct 31, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 31, 2022F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Oct 31, 2022F693Ensure 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.EStandard
Oct 31, 2022F688Provide 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.DStandard
Oct 31, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 31, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 31, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 31, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $160,262 .

DateTypeFinePayment denial
Nov 8, 2025Fine$126,150—
Oct 20, 2023Fine$34,112—
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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