Facility profile · CCN 366394
Avenue Care And Rehabilitation Center, The
53 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $34,146.
Record summary
Federal record · Q1 202653
Total citations
50
Last 3 years
3
Actual harm+
2
Federal penalties
$34,146
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
53 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 18, 2025 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | F | Complaint |
| Dec 18, 2025 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint |
| Oct 29, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 29, 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 |
| Oct 29, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Oct 29, 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 6, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 13, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Aug 13, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Aug 13, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Aug 13, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint |
| Aug 13, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Aug 13, 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. | F | Complaint |
| Aug 13, 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 | Complaint |
| Aug 13, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 13, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Aug 13, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Aug 13, 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 |
| Aug 13, 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 |
| Aug 13, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Aug 13, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Aug 13, 2025 | F908 | Keep all essential equipment working safely. | D | Standard |
| Aug 13, 2025 | F887 | Educate 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. | D | Standard |
| Aug 13, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 13, 2025 | F732 | Post nurse staffing information every day. | C | Standard |
| Aug 13, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 13, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 13, 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. | E | Standard |
| Aug 13, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 13, 2025 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Aug 13, 2025 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Aug 13, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Aug 13, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jan 10, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jan 10, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 10, 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 | Complaint |
| Jul 10, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Apr 25, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Apr 25, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 21, 2023 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Nov 21, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 7, 2023 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| May 24, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 24, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 24, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 24, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 24, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| May 24, 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 |
| May 24, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| May 24, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 22, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 22, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 22, 2019 | 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 |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $34,146 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 10, 2025 | Fine | $17,345 | — |
| Apr 25, 2024 | Fine | $16,801 | — |
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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