Facility profile · CCN 395471
Armstrong Rehabilitation And Nursing Center
100 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $84,270.
Record summary
Federal record · Q1 2026100
Total citations
97
Last 3 years
3
Actual harm+
3
Federal penalties
$84,270
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
100 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 12, 2025 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard |
| Dec 12, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Dec 12, 2025 | F946 | Provide training in compliance and ethics. | E | Standard |
| Dec 12, 2025 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Standard |
| Dec 12, 2025 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard |
| Dec 12, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard |
| Dec 12, 2025 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Standard |
| Dec 12, 2025 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Standard |
| Dec 12, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 12, 2025 | F836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | Standard |
| Dec 12, 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 |
| Dec 12, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Dec 12, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Dec 12, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Dec 12, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 12, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Dec 12, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 12, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Dec 12, 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 |
| Dec 12, 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 |
| Dec 12, 2025 | F575 | Post 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. | C | Standard |
| Dec 12, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 4, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 3, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 3, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 18, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 18, 2025 | 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 | Complaint |
| Aug 18, 2025 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint |
| Jul 1, 2025 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Jul 1, 2025 | 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. | G | Complaint |
| Jul 1, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jun 10, 2025 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Complaint |
| Jun 10, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Jun 10, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Jun 10, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 10, 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 | Complaint |
| Mar 5, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Mar 5, 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 | Complaint |
| Feb 6, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Feb 6, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Dec 20, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 20, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Dec 20, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Dec 20, 2024 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Dec 20, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Dec 20, 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. | E | Standard |
| Dec 20, 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 |
| Dec 20, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 20, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Dec 20, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Dec 20, 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. | D | Standard |
| Dec 20, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Dec 20, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Dec 20, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 20, 2024 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard |
| Dec 20, 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 |
| Dec 20, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 20, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Dec 20, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Dec 20, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Dec 20, 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. | E | Standard |
| Dec 20, 2024 | 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 |
| Dec 20, 2024 | F621 | Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source | D | Standard |
| Dec 20, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Dec 20, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Dec 20, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Dec 20, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Dec 20, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Dec 20, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Dec 20, 2024 | F579 | Provide information about how to apply for and use Medicare and Medicaid benefits. | E | Standard |
| Dec 20, 2024 | 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 |
| Dec 20, 2024 | F575 | Post 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. | E | Standard |
| Dec 20, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Dec 20, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 20, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Dec 20, 2024 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint |
| Nov 19, 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 | Complaint |
| Nov 19, 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 | Complaint |
| Nov 19, 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. | D | Complaint |
| Oct 18, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 24, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Jan 10, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jan 5, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 5, 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 |
| Jan 5, 2024 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard |
| Jan 5, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Jan 5, 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 |
| Jan 5, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jan 5, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jan 5, 2024 | F610 | Respond appropriately to all alleged violations. | E | Standard |
| Jan 5, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard |
| Jan 5, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Jan 5, 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 | Standard |
| Jan 5, 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. | D | Standard |
| Jan 5, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jan 5, 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 |
| Jan 5, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 20, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Apr 20, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 20, 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 | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $84,270 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 10, 2025 | Fine | $8,672 | — |
| Jun 10, 2025 | Fine | $8,673 | — |
| Apr 20, 2023 | Fine | $66,925 | — |
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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