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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 2026
81
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
SurveyF-TagViolationSeveritySource
Mar 13, 2025F887Educate 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.DStandard
Mar 13, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Mar 13, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 13, 2025F843Have 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.CStandard
Mar 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 13, 2025F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Mar 13, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Mar 13, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Mar 13, 2025F760Ensure that residents are free from significant medication errors.DStandard
Mar 13, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Mar 13, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Mar 13, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Mar 13, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard
Mar 13, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Mar 13, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 13, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Mar 13, 2025F585Honor 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.DStandard
Mar 13, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jan 2, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jan 2, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 2, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 5, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Jun 5, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jun 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 5, 2024F880Provide and implement an infection prevention and control program.FStandard
Mar 5, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Mar 5, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Mar 5, 2024F791Provide or obtain dental services for each resident.DStandard
Mar 5, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 5, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 5, 2024F727Have 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.FStandard
Mar 5, 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.DStandard
Mar 5, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Mar 5, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Mar 5, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Mar 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 5, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Mar 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 5, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Mar 5, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Mar 5, 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.BStandard
Mar 5, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 5, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard
Mar 5, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Dec 29, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.CComplaint
Dec 29, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.CComplaint
Dec 29, 2023F880Provide and implement an infection prevention and control program.FComplaint
Dec 29, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FComplaint
Dec 29, 2023F837Establish 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.CComplaint
Dec 29, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Dec 29, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Dec 29, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 29, 2023F679Provide activities to meet all resident's needs.DComplaint
Dec 29, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Dec 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Dec 29, 2023F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Dec 29, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.FComplaint
Sep 27, 2023F761Ensure 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 27, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Sep 27, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jul 5, 2023F610Respond appropriately to all alleged violations.DComplaint
Jul 5, 2023F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Jul 5, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.GComplaint
Apr 11, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jun 16, 2022F887Educate 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.DStandard
Jun 16, 2022F886Perform COVID19 testing on residents and staff.EStandard
Jun 16, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jun 16, 2022F880Provide and implement an infection prevention and control program.FStandard
Jun 16, 2022F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Jun 16, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 16, 2022F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Jun 16, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Jun 16, 2022F700Try 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.DStandard
Jun 16, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.GStandard
Jun 16, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 16, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jun 16, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 16, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 16, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $72,804 .

DateTypeFinePayment denial
Mar 5, 2024Fine$53,264
Sep 27, 2023Fine$9,770
Jul 5, 2023Fine$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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