Facility profile · CCN 225530
Andover Forest Post Acute Care Center
44 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $44,265.
Record summary
Federal record · Q1 202644
Total citations
34
Last 3 years
5
Actual harm+
3
Federal penalties
$44,265
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Mar 26, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 26, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 26, 2025 | F761 | Ensure 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. | E | Standard |
| Mar 26, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Mar 26, 2025 | 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 | Standard |
| Mar 26, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Mar 26, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 26, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Mar 26, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Mar 26, 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 |
| Mar 26, 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. | D | Standard |
| Mar 26, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Apr 12, 2024 | F908 | Keep all essential equipment working safely. | E | Standard |
| Apr 12, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Apr 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 12, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Apr 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Apr 12, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| Apr 12, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Standard |
| Apr 12, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Apr 12, 2024 | F761 | Ensure 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. | D | Standard |
| Apr 12, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Apr 12, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Apr 12, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Apr 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 12, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Apr 12, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Apr 12, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Apr 12, 2024 | 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 12, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 26, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 26, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint |
| Aug 29, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 29, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint |
| Feb 23, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 23, 2023 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Feb 23, 2023 | F761 | Ensure 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. | E | Standard |
| Feb 23, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Feb 23, 2023 | F758 | 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. | D | Standard |
| Feb 23, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 23, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Feb 23, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Feb 23, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Feb 23, 2023 | 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 |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $44,265 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 12, 2024 | Fine | $25,847 | — |
| Sep 26, 2023 | Fine | $10,517 | — |
| Aug 29, 2023 | Fine | $7,901 | — |
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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