Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265727

Carmel Hills Wellness & Rehabilitation

81 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $20,787.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
81
Total citations
39
Last 3 years
2
Actual harm+
1
Federal penalties
$20,787
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Nutrition & Dietary15 Resident Rights14 Care Planning9 Medication & Pharmacy7

Most common F-tags at this facility

F6895 F8045 F8063 F8123 F5503

Citation history

81 on record
SurveyF-TagViolationSeveritySource
May 21, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
May 21, 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.DComplaint
May 21, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
May 21, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
May 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 21, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 21, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 16, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Jan 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 25, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Nov 25, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Nov 25, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Nov 25, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Nov 25, 2024F880Provide and implement an infection prevention and control program.FStandard
Nov 25, 2024F791Provide or obtain dental services for each resident.DStandard
Nov 25, 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.EStandard
Nov 25, 2024F760Ensure that residents are free from significant medication errors.DStandard
Nov 25, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Nov 25, 2024F758Implement 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
Nov 25, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Nov 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Nov 25, 2024F693Ensure 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
Nov 25, 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
Nov 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 25, 2024F641Ensure each resident receives an accurate assessment.DStandard
Nov 25, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Nov 25, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Nov 25, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Nov 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 16, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
Jun 28, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Feb 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Feb 1, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 7, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 7, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Sep 7, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Mar 29, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EComplaint
Mar 29, 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.EComplaint
Mar 29, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 29, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Mar 29, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Mar 29, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 29, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.EComplaint
Mar 29, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Mar 29, 2023F926Have policies on smoking.DStandard
Mar 29, 2023F908Keep all essential equipment working safely.FStandard
Mar 29, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Mar 29, 2023F814Dispose of garbage and refuse properly.DStandard
Mar 29, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Mar 29, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 29, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Mar 29, 2023F803Ensure 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.EStandard
Mar 29, 2023F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Mar 29, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 29, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 29, 2023F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Mar 29, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 29, 2023F693Ensure 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
Mar 29, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 29, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard
Mar 29, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 29, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 29, 2023F584Honor 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
Mar 29, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 9, 2020F908Keep all essential equipment working safely.EStandard
Mar 9, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 9, 2020F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Mar 9, 2020F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Mar 9, 2020F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard
Mar 9, 2020F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Mar 9, 2020F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 9, 2020F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 9, 2020F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Mar 9, 2020F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 9, 2020F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 9, 2020F641Ensure each resident receives an accurate assessment.DStandard
Mar 9, 2020F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 9, 2020F585Honor 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

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $20,787 .

DateTypeFinePayment denial
Feb 1, 2024Fine$20,787—
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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