Facility profile · CCN 265462
Beloved Health And Rehabilitation Center
133 federal citations on record , including 4 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $275,024.
Record summary
Federal record · Q1 2026133
Total citations
88
Last 3 years
15
Actual harm+
5
Federal penalties
$275,024
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
133 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 5, 2025 | 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 |
| Feb 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Nov 27, 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 |
| Nov 27, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Nov 27, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 27, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Nov 27, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Nov 27, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Complaint |
| Nov 27, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint |
| Nov 27, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Nov 27, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard |
| Nov 27, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Nov 27, 2024 | F946 | Provide training in compliance and ethics. | E | Standard |
| Nov 27, 2024 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Standard |
| Nov 27, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard |
| Nov 27, 2024 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard |
| Nov 27, 2024 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Standard |
| Nov 27, 2024 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Standard |
| Nov 27, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Nov 27, 2024 | 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. | E | Standard |
| Nov 27, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Nov 27, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Nov 27, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard |
| Nov 27, 2024 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | B | Standard |
| Nov 27, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Nov 27, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 27, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard |
| Nov 27, 2024 | F803 | Ensure 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. | F | Standard |
| Nov 27, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Nov 27, 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. | E | Standard |
| Nov 27, 2024 | F728 | Ensure 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. | F | Standard |
| Nov 27, 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 |
| Nov 27, 2024 | 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. | E | Standard |
| Nov 27, 2024 | F688 | Provide 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. | E | Standard |
| Nov 27, 2024 | F687 | Provide appropriate foot care. | E | Standard |
| Nov 27, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Nov 27, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Nov 27, 2024 | 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 |
| Nov 27, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Nov 27, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Nov 27, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Nov 27, 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. | C | Standard |
| Nov 27, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Nov 27, 2024 | F620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | B | Standard |
| Nov 27, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | Standard |
| Nov 27, 2024 | 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 |
| Nov 27, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Nov 27, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Nov 27, 2024 | F572 | Give residents a notice of rights, rules, services and charges. | F | Standard |
| Nov 27, 2024 | F570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard |
| Nov 27, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Sep 10, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 2, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint |
| Aug 2, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Aug 2, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint |
| Aug 2, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint |
| Aug 2, 2024 | 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 | Complaint |
| Aug 2, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint |
| Jun 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jun 18, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jun 18, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jun 18, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| May 29, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint |
| May 29, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| May 29, 2024 | 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 | Complaint |
| Apr 18, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Mar 28, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Mar 28, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Mar 28, 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 |
| Mar 28, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint |
| Mar 28, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Mar 28, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Mar 28, 2024 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Complaint |
| Mar 28, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Mar 28, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint |
| Mar 28, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint |
| Mar 28, 2024 | 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 | Complaint |
| Mar 28, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Mar 28, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint |
| Feb 7, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint |
| Feb 7, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint |
| Feb 7, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Dec 6, 2023 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Dec 6, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 6, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Nov 3, 2023 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint |
| Aug 9, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Dec 7, 2022 | F886 | Perform COVID19 testing on residents and staff. | F | Standard |
| Dec 7, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Dec 7, 2022 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Dec 7, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 7, 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 7, 2022 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Dec 7, 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 7, 2022 | F758 | Implement 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. | E | Standard |
| Dec 7, 2022 | F732 | Post nurse staffing information every day. | C | Standard |
| Dec 7, 2022 | 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 |
| Dec 7, 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 |
| Dec 7, 2022 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $275,024 and 2 payment-denial actions spanning 147 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 4, 2025 | Fine | $16,575 | — |
| Nov 27, 2024 | Fine | $171,281 | — |
| Nov 27, 2024 | Payment Denial | — | Jan 18, 2025 · 58 days |
| Mar 28, 2024 | Fine | $87,168 | — |
| Mar 28, 2024 | Payment Denial | — | Jun 28, 2024 · 89 days |
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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