Facility profile · CCN 225421
Ayer Valley Rehab And Nursing
81 federal citations on record , and 3 federal enforcement actions totaling $72,804.
Record summary
Federal record · Q1 202681
Total citations
65
Last 3 years
7
Actual harm+
3
Federal penalties
$72,804
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
81 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Mar 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 |
| Mar 13, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Mar 13, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 13, 2025 | F843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | C | Standard |
| Mar 13, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 13, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Mar 13, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Mar 13, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Mar 13, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Mar 13, 2025 | 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 |
| Mar 13, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Mar 13, 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. | D | Standard |
| Mar 13, 2025 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
| Mar 13, 2025 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Mar 13, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Mar 13, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Mar 13, 2025 | 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 |
| Mar 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 | Standard |
| Jan 2, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jan 2, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jan 2, 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 |
| Jun 5, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Jun 5, 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 |
| Jun 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 | Complaint |
| Mar 5, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Mar 5, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Mar 5, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Mar 5, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Mar 5, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Mar 5, 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 |
| Mar 5, 2024 | 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 | Standard |
| Mar 5, 2024 | 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 |
| Mar 5, 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 | Standard |
| Mar 5, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Mar 5, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 5, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Mar 5, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Mar 5, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Mar 5, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Mar 5, 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 | Standard |
| Mar 5, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Mar 5, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Mar 5, 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. | B | Standard |
| Mar 5, 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 |
| Mar 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. | G | Standard |
| Mar 5, 2024 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard |
| Dec 29, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | C | Complaint |
| Dec 29, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | Complaint |
| Dec 29, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Dec 29, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Complaint |
| Dec 29, 2023 | 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. | C | Complaint |
| Dec 29, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint |
| Dec 29, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Dec 29, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 29, 2023 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Dec 29, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 29, 2023 | 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 |
| Dec 29, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Dec 29, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | F | Complaint |
| Sep 27, 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. | D | Complaint |
| Sep 27, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Sep 27, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jul 5, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 5, 2023 | 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 5, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | G | Complaint |
| Apr 11, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Jun 16, 2022 | 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 |
| Jun 16, 2022 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Jun 16, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Jun 16, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jun 16, 2022 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Jun 16, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jun 16, 2022 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Jun 16, 2022 | 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 | Standard |
| Jun 16, 2022 | 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 |
| Jun 16, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | Standard |
| Jun 16, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jun 16, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Jun 16, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 16, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jun 16, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $72,804 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 5, 2024 | Fine | $53,264 | — |
| Sep 27, 2023 | Fine | $9,770 | — |
| Jul 5, 2023 | Fine | $9,770 | — |
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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