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Facility profile · CCN 335338

Bishop Rehabilitation And Nursing Center

62 federal citations on record , including 4 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $699,602.

4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
62
Total citations
59
Last 3 years
13
Actual harm+
4
Federal penalties
$699,602
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

62 on record
SurveyF-TagViolationSeveritySource
May 16, 2025F760Ensure that residents are free from significant medication errors.DComplaint
May 16, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 16, 2025F880Provide and implement an infection prevention and control program.DStandard
May 16, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 16, 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.DStandard
May 16, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 20, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
Dec 20, 2024F584Honor 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
Dec 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 20, 2024F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.EStandard
Dec 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 20, 2024F732Post nurse staffing information every day.DStandard
Dec 20, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Dec 20, 2024F583Keep residents' personal and medical records private and confidential.EStandard
Jul 11, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
Jul 11, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.KComplaint
Jul 11, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.KComplaint
Jul 11, 2024F697Provide safe, appropriate pain management for a resident who requires such services.KComplaint
Jul 11, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jul 11, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jul 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HComplaint
Jul 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.IComplaint
Jul 11, 2024F584Honor 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.EComplaint
Jul 11, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.IComplaint
Jul 11, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FStandard
Jul 11, 2024F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.HStandard
Jul 11, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Jul 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 11, 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
Jul 11, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FStandard
Jul 11, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jul 11, 2024F688Provide 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
Jul 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 11, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Jul 11, 2024F622Not 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
Jul 11, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.KStandard
Jan 19, 2024F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.EComplaint
Dec 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HComplaint
Dec 5, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Dec 5, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.GComplaint
Dec 5, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Dec 5, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HComplaint
Jun 28, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 24, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
May 24, 2023F880Provide and implement an infection prevention and control program.DComplaint
May 24, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
May 24, 2023F760Ensure that residents are free from significant medication errors.DComplaint
May 24, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 24, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 24, 2023F693Ensure 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
May 24, 2023F679Provide activities to meet all resident's needs.DComplaint
May 24, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
May 24, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
May 24, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 24, 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.EComplaint
May 24, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Mar 5, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Mar 5, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Mar 5, 2023F610Respond appropriately to all alleged violations.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $699,602 and 2 payment-denial actions spanning 92 days.

DateTypeFinePayment denial
Jul 11, 2024Fine$378,437
Jul 11, 2024Payment DenialAug 6, 2024 · 50 days
Dec 5, 2023Fine$321,165
Dec 5, 2023Payment DenialApr 16, 2024 · 42 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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