Facility profile · CCN 265844
Aurora Health And Rehabilitation
66 federal citations on record , including 2 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $64,893.
Record summary
Federal record · Q1 202666
Total citations
46
Last 3 years
2
Actual harm+
6
Federal penalties
$64,893
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
66 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 19, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Nov 19, 2025 | 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. | E | Complaint |
| Nov 19, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint |
| Nov 19, 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. | D | Complaint |
| Nov 19, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 19, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Nov 19, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jul 2, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint |
| Mar 20, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 20, 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 20, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Oct 17, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 17, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Aug 16, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Jun 28, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Jun 28, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 28, 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. | E | Standard |
| Jun 28, 2024 | F732 | Post nurse staffing information every day. | D | Standard |
| Jun 28, 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 |
| Jun 28, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jun 28, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jun 28, 2024 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Feb 22, 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 |
| Feb 22, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint |
| Jan 25, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jan 25, 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 | Complaint |
| Oct 20, 2023 | 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. | E | Complaint |
| Aug 31, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | C | Standard |
| Aug 31, 2023 | F881 | Implement a program that monitors antibiotic use. | C | Standard |
| Aug 31, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 31, 2023 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Standard |
| Aug 31, 2023 | F814 | Dispose of garbage and refuse properly. | C | Standard |
| Aug 31, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 31, 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 |
| Aug 31, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Aug 31, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Aug 31, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Aug 31, 2023 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Aug 31, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Aug 31, 2023 | 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. | B | Standard |
| Aug 31, 2023 | 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. | E | Standard |
| Aug 31, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | Standard |
| Aug 31, 2023 | 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 |
| Aug 31, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Jul 6, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Jul 6, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Nov 24, 2021 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Nov 24, 2021 | F908 | Keep all essential equipment working safely. | F | Standard |
| Nov 24, 2021 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Nov 24, 2021 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Nov 24, 2021 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Nov 24, 2021 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Nov 24, 2021 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Nov 24, 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 |
| Nov 24, 2021 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard |
| Nov 24, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 24, 2021 | 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 |
| Nov 24, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 24, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 24, 2021 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Nov 24, 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. | E | Standard |
| Nov 24, 2021 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard |
| Nov 24, 2021 | 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. | K | Standard |
| Nov 24, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Nov 24, 2021 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Nov 24, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 6 enforcement actions against this facility, including 6 civil money penalties totaling $64,893 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 28, 2024 | Fine | $14,433 | — |
| Sep 25, 2023 | Fine | $4,587 | — |
| Sep 5, 2023 | Fine | $13,762 | — |
| Jul 31, 2023 | Fine | $13,762 | — |
| Jun 26, 2023 | Fine | $4,587 | — |
| Jun 5, 2023 | Fine | $13,762 | — |
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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