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.
Record summary
Federal record · Q1 202662
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 16, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| May 16, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 16, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 16, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 16, 2025 | 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. | D | Standard |
| May 16, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 20, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 20, 2024 | F585 | Honor 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. | E | Complaint |
| Dec 20, 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. | D | Complaint |
| Dec 20, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Dec 20, 2024 | F836 | Ensure 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. | E | Standard |
| Dec 20, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 20, 2024 | F732 | Post nurse staffing information every day. | D | Standard |
| Dec 20, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Dec 20, 2024 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Jul 11, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint |
| Jul 11, 2024 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | K | Complaint |
| Jul 11, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | K | Complaint |
| Jul 11, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | K | Complaint |
| Jul 11, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jul 11, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jul 11, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 11, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Complaint |
| Jul 11, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 11, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | I | Complaint |
| Jul 11, 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 |
| Jul 11, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | I | Complaint |
| Jul 11, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Standard |
| Jul 11, 2024 | F841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | H | Standard |
| Jul 11, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Jul 11, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 11, 2024 | 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. | E | Standard |
| Jul 11, 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. | F | Standard |
| Jul 11, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard |
| Jul 11, 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. | D | Standard |
| Jul 11, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 11, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Jul 11, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Jul 11, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | K | Standard |
| Jan 19, 2024 | F836 | Ensure 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. | E | Complaint |
| Dec 5, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint |
| Dec 5, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Dec 5, 2023 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | G | Complaint |
| Dec 5, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Dec 5, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | H | Complaint |
| Jun 28, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 24, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint |
| May 24, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 24, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint |
| May 24, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| May 24, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint |
| May 24, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| May 24, 2023 | F693 | Ensure 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. | D | Complaint |
| May 24, 2023 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| May 24, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| May 24, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| May 24, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| May 24, 2023 | 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 |
| May 24, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Mar 5, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Mar 5, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Mar 5, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
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.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 11, 2024 | Fine | $378,437 | — |
| Jul 11, 2024 | Payment Denial | — | Aug 6, 2024 · 50 days |
| Dec 5, 2023 | Fine | $321,165 | — |
| Dec 5, 2023 | Payment Denial | — | Apr 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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