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Facility profile · CCN 325125

Bear Canyon Rehabilitation Center

70 federal citations on record , including 4 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $167,434.

4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
70
Total citations
52
Last 3 years
6
Actual harm+
5
Federal penalties
$167,434
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

70 on record
SurveyF-TagViolationSeveritySource
Dec 18, 2025F761Ensure 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
Dec 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 30, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Apr 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 3, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 3, 2025F584Honor 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.DComplaint
Feb 10, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Feb 10, 2025F761Ensure 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
Feb 10, 2025F760Ensure that residents are free from significant medication errors.KStandard
Feb 10, 2025F758Implement 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.DStandard
Feb 10, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Feb 10, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Feb 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KStandard
Feb 10, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Feb 10, 2025F641Ensure each resident receives an accurate assessment.DStandard
Feb 10, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Feb 10, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Dec 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Oct 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 25, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
Jan 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 22, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 22, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Dec 22, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Oct 13, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 13, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Oct 13, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Oct 13, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Oct 13, 2023F881Implement a program that monitors antibiotic use.FStandard
Oct 13, 2023F880Provide and implement an infection prevention and control program.FStandard
Oct 13, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Oct 13, 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.FStandard
Oct 13, 2023F758Implement 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.DStandard
Oct 13, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Oct 13, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Oct 13, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Oct 13, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 13, 2023F679Provide activities to meet all resident's needs.DStandard
Oct 13, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Oct 13, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 13, 2023F584Honor 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.DStandard
Oct 13, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Oct 13, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Oct 13, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Oct 13, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard
Oct 13, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 27, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 27, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Apr 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 27, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Aug 5, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Aug 5, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 5, 2022F791Provide or obtain dental services for each resident.DStandard
Aug 5, 2022F759Ensure medication error rates are not 5 percent or greater.EStandard
Aug 5, 2022F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard
Aug 5, 2022F693Ensure 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.EStandard
Aug 5, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 5, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Aug 5, 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
Aug 5, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Aug 5, 2022F685Assist a resident in gaining access to vision and hearing services.EStandard
Aug 5, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Aug 5, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Aug 5, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Aug 5, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Aug 5, 2022F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Aug 5, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Aug 5, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 5 civil money penalties totaling $167,434 .

DateTypeFinePayment denial
Feb 10, 2025Fine$39,507
Oct 10, 2024Fine$14,269
Dec 22, 2023Fine$98,550
Oct 30, 2023Fine$3,145
Oct 13, 2023Fine$11,963
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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