Independent · Federal inspection records, searchable
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Facility profile · CCN 265638

Baptist Homes, Tri-county

69 federal citations on record , including 3 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $13,039.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
69
Total citations
18
Last 3 years
6
Actual harm+
1
Federal penalties
$13,039
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

69 on record
SurveyF-TagViolationSeveritySource
Jan 24, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jan 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jan 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 8, 2024F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
Feb 8, 2024F880Provide and implement an infection prevention and control program.EStandard
Feb 8, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 8, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Feb 8, 2024F760Ensure that residents are free from significant medication errors.DStandard
Feb 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Feb 8, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 8, 2024F637Assess the resident when there is a significant change in conditionDStandard
Feb 8, 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
Feb 8, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Feb 8, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Feb 8, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
Feb 8, 2024F567Honor the resident's right to manage his or her financial affairs.DStandard
Jul 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 4, 2023F610Respond appropriately to all alleged violations.DComplaint
Apr 4, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Mar 15, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Mar 2, 2022F919Make sure that a working call system is available in each resident's bathroom and bathing area.FStandard
Mar 2, 2022F880Provide and implement an infection prevention and control program.FStandard
Mar 2, 2022F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Mar 2, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 2, 2022F811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.EStandard
Mar 2, 2022F761Ensure 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.EStandard
Mar 2, 2022F758Implement 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.EStandard
Mar 2, 2022F727Have 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 2, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Mar 2, 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.EStandard
Mar 2, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 2, 2022F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Mar 2, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Mar 2, 2022F688Provide 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.EStandard
Mar 2, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JStandard
Mar 2, 2022F679Provide activities to meet all resident's needs.EStandard
Mar 2, 2022F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard
Mar 2, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Mar 2, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 2, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 2, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 2, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Mar 2, 2022F637Assess the resident when there is a significant change in conditionEStandard
Mar 2, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Mar 2, 2022F625Notify 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.EStandard
Mar 2, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Mar 2, 2022F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DStandard
Mar 2, 2022F584Honor 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.EStandard
Mar 2, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Mar 2, 2022F570Assure the security of all personal funds of residents deposited with the facility.EStandard
Mar 2, 2022F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard
Mar 2, 2022F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
Mar 2, 2022F567Honor the resident's right to manage his or her financial affairs.EStandard
Mar 2, 2022F558Reasonably accommodate the needs and preferences of each resident.EStandard
Mar 2, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jul 11, 2019F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Jul 11, 2019F880Provide and implement an infection prevention and control program.EStandard
Jul 11, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 11, 2019F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jul 11, 2019F761Ensure 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.DStandard
Jul 11, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Jul 11, 2019F730Observe each nurse aide's job performance and give regular training.EStandard
Jul 11, 2019F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EStandard
Jul 11, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jul 11, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jul 11, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $13,039 .

DateTypeFinePayment denial
Jul 19, 2023Fine$13,039
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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