Facility profile · CCN 345557
Azalea Health & Rehab Center
40 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $24,470.
Record summary
Federal record · Q1 202640
Total citations
30
Last 3 years
2
Actual harm+
2
Federal penalties
$24,470
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
40 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 30, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| May 30, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 30, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jul 19, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 31, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint |
| Apr 2, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Apr 2, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Apr 2, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint |
| Apr 2, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint |
| Apr 2, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint |
| Apr 2, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 2, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Apr 2, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Apr 2, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard |
| Apr 2, 2024 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Apr 2, 2024 | 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 | Standard |
| Apr 2, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Apr 2, 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. | E | Standard |
| Apr 2, 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 |
| Apr 2, 2024 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Apr 2, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard |
| Apr 2, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Jun 23, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jun 23, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Jun 23, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint |
| Jun 23, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 23, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jun 23, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | — |
| Jun 23, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | — |
| Dec 9, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Dec 9, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 9, 2022 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard |
| Dec 9, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Dec 9, 2022 | 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 | Standard |
| Dec 9, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Dec 9, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Dec 9, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 9, 2022 | 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. | E | Standard |
| Dec 9, 2022 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $24,470 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 19, 2024 | Fine | $16,452 | — |
| Apr 2, 2024 | Fine | $8,018 | — |
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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