Facility profile · CCN 105482
Breezy Hills Rehab And Care Center
34 federal citations on record , and 1 federal enforcement actions totaling $6,351.
Record summary
Federal record · Q1 202634
Total citations
15
Last 3 years
0
Actual harm+
1
Federal penalties
$6,351
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 8, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 8, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 8, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 8, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| May 8, 2025 | 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 |
| May 8, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| May 8, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| May 8, 2025 | 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 | Standard |
| May 8, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| May 8, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| May 8, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Mar 27, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Jul 2, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint |
| Jul 2, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 2, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 8, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 8, 2023 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | F | Standard |
| Feb 8, 2023 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard |
| Feb 8, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 8, 2023 | 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 |
| Feb 8, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 8, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Feb 8, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Feb 8, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Feb 8, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Feb 8, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| May 27, 2021 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| May 27, 2021 | 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 |
| May 27, 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 |
| May 27, 2021 | F700 | Try 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. | D | Standard |
| May 27, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 27, 2021 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 27, 2021 | 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 |
| May 27, 2021 | 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 |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $6,351 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 17, 2023 | Fine | $6,351 | — |
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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