Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 095034

Ascension Living Carroll Manor

56 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $16,801.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
56
Total citations
37
Last 3 years
2
Actual harm+
2
Federal penalties
$16,801
Total fines
3
Overall ★ rating

Most common violation categories here

Care Planning12 Quality of Care12 Resident Rights7 Medication & Pharmacy7 Nutrition & Dietary5

Most common F-tags at this facility

F6573 F6893 F7553 F8123 F6252

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Jan 5, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Jan 5, 2026F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DComplaint
Sep 25, 2024F908Keep all essential equipment working safely.EComplaint
Sep 25, 2024F887Educate 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
Sep 25, 2024F880Provide and implement an infection prevention and control program.DComplaint
Sep 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Sep 25, 2024F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Sep 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.DComplaint
Sep 25, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Sep 25, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Sep 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Sep 25, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Sep 25, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Sep 25, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Sep 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 25, 2024F685Assist a resident in gaining access to vision and hearing services.DComplaint
Sep 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 25, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 25, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Sep 25, 2024F625Notify 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.DComplaint
Sep 25, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Sep 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 25, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Sep 25, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 25, 2024F836Ensure 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.DStandard
May 30, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
May 30, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 30, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
May 30, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 30, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
May 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 30, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 30, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 30, 2023F625Notify 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.DStandard
May 30, 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.DStandard
Jul 28, 2021F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jul 28, 2021F908Keep all essential equipment working safely.DStandard
Jul 28, 2021F880Provide and implement an infection prevention and control program.EStandard
Jul 28, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jul 28, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 28, 2021F758Implement 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
Jul 28, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jul 28, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 28, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jul 28, 2021F688Provide 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
Jul 28, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 28, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jul 28, 2021F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jul 28, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 28, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 28, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jul 28, 2021F641Ensure each resident receives an accurate assessment.DStandard
Jul 28, 2021F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Jul 28, 2021F584Honor 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

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $16,801 and 1 payment-denial actions spanning 76 days.

DateTypeFinePayment denial
Sep 25, 2024Fine$16,801—
Sep 25, 2024Payment Denial—Oct 27, 2024 · 76 days
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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