Facility profile · CCN 225348
Bourne Manor Extended Care Facility
41 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $48,575.
Record summary
Federal record · Q1 202641
Total citations
20
Last 3 years
5
Actual harm+
1
Federal penalties
$48,575
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
41 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 28, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 28, 2025 | 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 |
| Jan 28, 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. | E | Standard |
| Nov 28, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Nov 28, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Nov 28, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Nov 28, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Oct 12, 2023 | F908 | Keep all essential equipment working safely. | E | Standard |
| Oct 12, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 12, 2023 | 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. | D | Standard |
| Oct 12, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 12, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Oct 12, 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 | Standard |
| Oct 12, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Oct 12, 2023 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Oct 12, 2023 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Oct 12, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Oct 12, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Oct 12, 2023 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard |
| Jun 12, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Nov 4, 2021 | F886 | Perform COVID19 testing on residents and staff. | D | Standard |
| Nov 4, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Nov 4, 2021 | F838 | Conduct 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. | F | Standard |
| Nov 4, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Nov 4, 2021 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Nov 4, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Nov 4, 2021 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard |
| Nov 4, 2021 | F732 | Post nurse staffing information every day. | B | Standard |
| Nov 4, 2021 | 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 | Standard |
| Nov 4, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Standard |
| Nov 4, 2021 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Nov 4, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 4, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Nov 4, 2021 | F680 | Ensure the activities program is directed by a qualified professional. | F | Standard |
| Nov 4, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Standard |
| Nov 4, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Nov 4, 2021 | 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 4, 2021 | 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 | Standard |
| Nov 4, 2021 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Nov 4, 2021 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Nov 4, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $48,575 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 12, 2023 | Fine | $48,575 | — |
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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