Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265757

Bentwood Nursing & Rehab

55 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $107,465.

Abuse Icon 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
55
Total citations
24
Last 3 years
4
Actual harm+
3
Federal penalties
$107,465
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care20 Resident Rights10 Abuse & Neglect5 Care Planning5 Medication & Pharmacy5

Most common F-tags at this facility

F6892 F6932 F5692 F6002 F6232

Citation history

55 on record
SurveyF-TagViolationSeveritySource
Nov 17, 2025F693Ensure 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.DComplaint
Nov 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 26, 2024F687Provide appropriate foot care.DComplaint
Sep 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 15, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
May 15, 2024F881Implement a program that monitors antibiotic use.EStandard
May 15, 2024F880Provide and implement an infection prevention and control program.FStandard
May 15, 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
May 15, 2024F742Provide 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.DStandard
May 15, 2024F679Provide activities to meet all resident's needs.DStandard
May 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 15, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 15, 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
May 15, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
May 15, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
May 15, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
May 15, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
May 15, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Mar 13, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 6, 2024F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Mar 6, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Feb 2, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Jan 23, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 6, 2022F919Make sure that a working call system is available in each resident's bathroom and bathing area.FStandard
May 6, 2022F909Regularly 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.DStandard
May 6, 2022F880Provide and implement an infection prevention and control program.EStandard
May 6, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
May 6, 2022F849Arrange 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
May 6, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 6, 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
May 6, 2022F760Ensure that residents are free from significant medication errors.DStandard
May 6, 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.DStandard
May 6, 2022F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
May 6, 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.DStandard
May 6, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
May 6, 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
May 6, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 6, 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.DStandard
May 6, 2022F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.KStandard
May 6, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
May 6, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
May 6, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 6, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
May 6, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
May 6, 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
May 6, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 6, 2022F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Nov 21, 2019F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
Nov 21, 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.EStandard
Nov 21, 2019F759Ensure medication error rates are not 5 percent or greater.EStandard
Nov 21, 2019F688Provide 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.DStandard
Nov 21, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Nov 21, 2019F610Respond appropriately to all alleged violations.DStandard
Nov 21, 2019F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $107,465 and 1 payment-denial actions spanning 4 days.

DateTypeFinePayment denial
May 15, 2024Fine$73,450—
May 15, 2024Payment Denial—Jun 21, 2024 · 4 days
Jan 23, 2024Fine$34,015—
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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