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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395883

Burgh Care Center

97 federal citations on record , including 4 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $402,762.

Abuse Icon Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
97
Total citations
97
Last 3 years
6
Actual harm+
5
Federal penalties
$402,762
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care27 Care Planning13 Abuse & Neglect11 Medication & Pharmacy10 Infection Control8

Most common F-tags at this facility

F6104 F6844 F8804 F5843 F6983

Citation history

97 on record
SurveyF-TagViolationSeveritySource
Jan 29, 2026F584Honor 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 4, 2025F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.DComplaint
Dec 4, 2025F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DComplaint
Dec 4, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
May 22, 2025F917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.DComplaint
Apr 28, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.GComplaint
Apr 5, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard
Apr 5, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Apr 5, 2025F881Implement a program that monitors antibiotic use.FStandard
Apr 5, 2025F880Provide and implement an infection prevention and control program.FStandard
Apr 5, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Apr 5, 2025F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DStandard
Apr 5, 2025F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DStandard
Apr 5, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Apr 5, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FStandard
Apr 5, 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
Apr 5, 2025F760Ensure that residents are free from significant medication errors.DStandard
Apr 5, 2025F758Implement 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
Apr 5, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 5, 2025F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 5, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Apr 5, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Apr 5, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Apr 5, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Apr 5, 2025F695Provide safe and appropriate respiratory care for a resident when needed.JStandard
Apr 5, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Apr 5, 2025F693Ensure 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.DStandard
Apr 5, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 5, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 5, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
Apr 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 5, 2025F680Ensure the activities program is directed by a qualified professional.EStandard
Apr 5, 2025F679Provide activities to meet all resident's needs.EStandard
Apr 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 5, 2025F637Assess the resident when there is a significant change in conditionDStandard
Apr 5, 2025F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.DStandard
Apr 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 5, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Apr 5, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
Apr 5, 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
Apr 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Mar 13, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FComplaint
Mar 13, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Mar 13, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint
Mar 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Mar 13, 2025F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Mar 13, 2025F610Respond appropriately to all alleged violations.DComplaint
Oct 1, 2024F880Provide and implement an infection prevention and control program.DComplaint
Oct 1, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Oct 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 1, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 1, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 1, 2024F572Give residents a notice of rights, rules, services and charges.DComplaint
Aug 14, 2024F610Respond appropriately to all alleged violations.DComplaint
Aug 14, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Aug 14, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 21, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Jun 21, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Jun 21, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
May 24, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EStandard
May 24, 2024F881Implement a program that monitors antibiotic use.EStandard
May 24, 2024F880Provide and implement an infection prevention and control program.EStandard
May 24, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 24, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
May 24, 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.DStandard
May 24, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 24, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
May 24, 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.EStandard
May 24, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
May 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
May 24, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 24, 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
May 24, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
May 24, 2024F641Ensure each resident receives an accurate assessment.EStandard
May 24, 2024F610Respond appropriately to all alleged violations.DStandard
May 24, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 24, 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.DStandard
Mar 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 10, 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.DComplaint
Nov 22, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 2, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 2, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 4, 2023F880Provide and implement an infection prevention and control program.DStandard
Jun 4, 2023F761Ensure 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
Jun 4, 2023F760Ensure that residents are free from significant medication errors.DStandard
Jun 4, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 4, 2023F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard
Jun 4, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KStandard
Jun 4, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 4, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 4, 2023F642Ensure a qualified health professional conducts resident assessments.DStandard
Jun 4, 2023F641Ensure each resident receives an accurate assessment.DStandard
Jun 4, 2023F637Assess the resident when there is a significant change in conditionDStandard
Jun 4, 2023F610Respond appropriately to all alleged violations.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $402,762 and 1 payment-denial actions spanning 20 days.

DateTypeFinePayment denial
Mar 13, 2025Fine$175,400—
Mar 13, 2025Payment Denial—May 14, 2025 · 20 days
May 24, 2024Fine$168,384—
Feb 6, 2024Fine$3,418—
Jun 4, 2023Fine$55,560—
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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