Facility profile · CCN 495155
Annandale Healthcare Center
61 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $90,896.
Record summary
Federal record · Q1 202661
Total citations
35
Last 3 years
2
Actual harm+
1
Federal penalties
$90,896
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
61 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 9, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Complaint |
| Oct 9, 2024 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Complaint |
| Oct 9, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Oct 9, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Oct 9, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Complaint |
| Oct 9, 2024 | F700 | Try 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. | E | Complaint |
| Oct 9, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Oct 9, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 9, 2024 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Oct 9, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Oct 9, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint |
| Oct 9, 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. | E | Complaint |
| Oct 9, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Oct 9, 2024 | 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 9, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Oct 9, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard |
| Oct 9, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Oct 9, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard |
| Oct 9, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Oct 9, 2024 | 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 |
| Oct 9, 2024 | 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 |
| Oct 9, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 9, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Oct 9, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
| Oct 9, 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 | Standard |
| Oct 9, 2024 | F688 | Provide 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. | D | Standard |
| Oct 9, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 9, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Oct 9, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 9, 2024 | F625 | Notify 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. | D | Standard |
| Oct 9, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Oct 9, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Oct 9, 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. | E | Standard |
| Oct 9, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| Oct 9, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Mar 5, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 5, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 5, 2021 | F838 | Conduct 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. | F | Standard |
| Mar 5, 2021 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Mar 5, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Mar 5, 2021 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Mar 5, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Mar 5, 2021 | 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 |
| Mar 5, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 5, 2021 | F625 | Notify 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. | D | Standard |
| Mar 5, 2021 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Mar 5, 2021 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Mar 5, 2021 | 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 |
| Mar 5, 2021 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Mar 5, 2021 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Aug 23, 2018 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Aug 23, 2018 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 23, 2018 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Aug 23, 2018 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Aug 23, 2018 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 23, 2018 | 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 |
| Aug 23, 2018 | F625 | Notify 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. | E | Standard |
| Aug 23, 2018 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Aug 23, 2018 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Aug 23, 2018 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard |
| Aug 23, 2018 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $90,896 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 9, 2024 | Fine | $90,896 | — |
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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