Facility profile · CCN 085054
Cadia Rehabilitation Pike Creek
52 federal citations on record , including 4 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $78,351.
Record summary
Federal record · Q1 202652
Total citations
22
Last 3 years
6
Actual harm+
4
Federal penalties
$78,351
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
52 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 18, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Apr 18, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Apr 18, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 18, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 18, 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 | Complaint |
| Apr 18, 2025 | F563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint |
| Feb 17, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint |
| Feb 17, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint |
| Feb 17, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 21, 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 |
| Mar 21, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Mar 21, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Mar 21, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Mar 21, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 21, 2024 | 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 |
| Mar 21, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 17, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Oct 17, 2023 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Oct 17, 2023 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | J | Complaint |
| Oct 17, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 17, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Oct 17, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Feb 23, 2023 | F880 | Provide and implement an infection prevention and control program. | J | Standard |
| Feb 23, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 23, 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 23, 2023 | 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 |
| Feb 23, 2023 | 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 |
| Feb 23, 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 |
| Feb 23, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Feb 23, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Sep 4, 2019 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Sep 4, 2019 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Sep 4, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Sep 4, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 4, 2019 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Sep 4, 2019 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard |
| Sep 4, 2019 | 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 |
| Sep 4, 2019 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Sep 4, 2019 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Sep 4, 2019 | 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 |
| Sep 4, 2019 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Sep 4, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 4, 2019 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Sep 4, 2019 | 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 |
| Sep 4, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 4, 2019 | 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 |
| Sep 4, 2019 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 4, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Sep 4, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Sep 4, 2019 | 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 |
| Sep 4, 2019 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Sep 4, 2019 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $78,351 and 1 payment-denial actions spanning 5 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 18, 2025 | Fine | $52,305 | — |
| Apr 18, 2025 | Payment Denial | — | May 28, 2025 · 5 days |
| Oct 17, 2023 | Fine | $12,649 | — |
| Oct 17, 2023 | Fine | $13,397 | — |
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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