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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.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
41
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
SurveyF-TagViolationSeveritySource
Jan 28, 2025F880Provide and implement an infection prevention and control program.DStandard
Jan 28, 2025F761Ensure 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.DStandard
Jan 28, 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.EStandard
Nov 28, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 28, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint
Nov 28, 2023F610Respond appropriately to all alleged violations.DComplaint
Nov 28, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Oct 12, 2023F908Keep all essential equipment working safely.EStandard
Oct 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 12, 2023F758Implement 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 12, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 12, 2023F641Ensure each resident receives an accurate assessment.EStandard
Oct 12, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Oct 12, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Oct 12, 2023F637Assess the resident when there is a significant change in conditionDStandard
Oct 12, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Oct 12, 2023F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Jun 12, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Nov 4, 2021F886Perform COVID19 testing on residents and staff.DStandard
Nov 4, 2021F880Provide and implement an infection prevention and control program.DStandard
Nov 4, 2021F838Conduct 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
Nov 4, 2021F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Nov 4, 2021F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Nov 4, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 4, 2021F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EStandard
Nov 4, 2021F732Post nurse staffing information every day.BStandard
Nov 4, 2021F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Nov 4, 2021F695Provide safe and appropriate respiratory care for a resident when needed.GStandard
Nov 4, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 4, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Nov 4, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Nov 4, 2021F680Ensure the activities program is directed by a qualified professional.FStandard
Nov 4, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.GStandard
Nov 4, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 4, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Nov 4, 2021F585Honor 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.EStandard
Nov 4, 2021F583Keep residents' personal and medical records private and confidential.DStandard
Nov 4, 2021F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Nov 4, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $48,575 .

DateTypeFinePayment denial
Oct 12, 2023Fine$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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