Facility profile · CCN 185208
Carmel Manor
44 federal citations on record , including 7 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $312,265.
Record summary
Federal record · Q1 202644
Total citations
34
Last 3 years
11
Actual harm+
5
Federal penalties
$312,265
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 1, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Dec 1, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 1, 2025 | F809 | Ensure 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. | F | Standard |
| Dec 1, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Dec 1, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Dec 1, 2025 | 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 |
| Dec 1, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Dec 1, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Dec 1, 2025 | F585 | Honor 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. | D | Standard |
| Dec 1, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Dec 1, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jul 24, 2025 | F887 | Educate 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. | E | Complaint |
| Jul 24, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Jul 24, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| Jul 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 24, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Jul 24, 2025 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Jul 24, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint |
| Jul 24, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Mar 15, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 15, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Mar 15, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 15, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Mar 15, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | Complaint |
| Mar 15, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Mar 15, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 5, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| May 5, 2023 | 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 | Complaint |
| May 5, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 5, 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 | Complaint |
| May 5, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| May 5, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| May 5, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Mar 17, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Mar 17, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Mar 17, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 17, 2022 | 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 |
| Mar 17, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Mar 17, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Mar 17, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Mar 17, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard |
| Mar 17, 2022 | 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 |
| Mar 17, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $312,265 and 2 payment-denial actions spanning 114 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 24, 2025 | Fine | $291,840 | — |
| Jul 24, 2025 | Payment Denial | — | Aug 28, 2025 · 110 days |
| Mar 15, 2025 | Fine | $10,000 | — |
| Mar 15, 2025 | Fine | $10,425 | — |
| Mar 15, 2025 | Payment Denial | — | Apr 12, 2025 · 4 days |
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.
Concerned about care at Carmel Manor?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys