Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265732

Bentleys Extended Care

60 federal citations on record , including 4 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $131,519.

4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
60
Total citations
52
Last 3 years
6
Actual harm+
4
Federal penalties
$131,519
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care13 Resident Rights9 Care Planning9 Medication & Pharmacy7 Infection Control7

Most common F-tags at this facility

F6894 F8803 F5502 F5802 F6412

Citation history

60 on record
SurveyF-TagViolationSeveritySource
Dec 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Apr 30, 2025F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Feb 4, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 4, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 4, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Oct 24, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Oct 24, 2024F887Educate 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.EStandard
Oct 24, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Oct 24, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 24, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Oct 24, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 24, 2024F761Ensure 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
Oct 24, 2024F758Implement 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 24, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 24, 2024F728Ensure 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.DStandard
Oct 24, 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.EStandard
Oct 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Oct 24, 2024F687Provide appropriate foot care.DStandard
Oct 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 24, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DStandard
Oct 24, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 24, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 24, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 24, 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.DStandard
Oct 24, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Oct 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Oct 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jul 3, 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.FComplaint
Jun 30, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jun 30, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Jun 30, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jun 30, 2023F881Implement a program that monitors antibiotic use.FStandard
Jun 30, 2023F880Provide and implement an infection prevention and control program.FStandard
Jun 30, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jun 30, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Jun 30, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Jun 30, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 30, 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.EStandard
Jun 30, 2023F760Ensure that residents are free from significant medication errors.DStandard
Jun 30, 2023F728Ensure 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.FStandard
Jun 30, 2023F700Try 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.KStandard
Jun 30, 2023F692Provide enough food/fluids to maintain a resident's health.GStandard
Jun 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Jun 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.KStandard
Jun 30, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 30, 2023F641Ensure each resident receives an accurate assessment.EStandard
Jun 30, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard
Jun 30, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jun 30, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 30, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
Jun 30, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 7, 2019F880Provide and implement an infection prevention and control program.DStandard
Nov 7, 2019F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Nov 7, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 7, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 7, 2019F730Observe each nurse aide's job performance and give regular training.EStandard
Nov 7, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 7, 2019F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Nov 7, 2019F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $131,519 and 1 payment-denial actions spanning 20 days.

DateTypeFinePayment denial
Feb 4, 2025Fine$28,969—
Jun 30, 2023Fine$97,970—
Jun 30, 2023Payment Denial—Aug 1, 2023 · 20 days
Mar 20, 2023Fine$4,580—
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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