Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265336

Carriage Square Rehab And Healthcare Center

58 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $48,685.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
58
Total citations
41
Last 3 years
2
Actual harm+
1
Federal penalties
$48,685
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care13 Resident Rights12 Care Planning6 Infection Control5 Nutrition & Dietary5

Most common F-tags at this facility

F6903 F8803 F6953 F8123 F8422

Citation history

58 on record
SurveyF-TagViolationSeveritySource
Jan 27, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint
Dec 23, 2025F880Provide and implement an infection prevention and control program.EComplaint
Dec 23, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Dec 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 3, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Mar 14, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Mar 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Mar 14, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Mar 14, 2025F946Provide training in compliance and ethics.FStandard
Mar 14, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard
Mar 14, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard
Mar 14, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FStandard
Mar 14, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Mar 14, 2025F881Implement a program that monitors antibiotic use.DStandard
Mar 14, 2025F880Provide and implement an infection prevention and control program.EStandard
Mar 14, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.FStandard
Mar 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 14, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Mar 14, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 23, 2024F610Respond appropriately to all alleged violations.DComplaint
Apr 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 23, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jul 14, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jul 14, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Jul 14, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Jul 14, 2023F880Provide and implement an infection prevention and control program.FStandard
Jul 14, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 14, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jul 14, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Jul 14, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard
Jul 14, 2023F699Provide care or services that was trauma informed and/or culturally competent.EStandard
Jul 14, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 14, 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
Jul 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jul 14, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jul 14, 2023F625Notify 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.EStandard
Jul 14, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Jul 14, 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
Jul 14, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Jul 14, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 10, 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 10, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Aug 5, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 5, 2021F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard
Aug 5, 2021F732Post nurse staffing information every day.DStandard
Aug 5, 2021F700Try 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.DStandard
Aug 5, 2021F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Aug 5, 2021F688Provide 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
Aug 5, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Aug 5, 2021F625Notify 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.EStandard
Aug 5, 2021F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Aug 5, 2021F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Aug 5, 2021F584Honor 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
Aug 5, 2021F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.DStandard
Aug 5, 2021F567Honor the resident's right to manage his or her financial affairs.EStandard
Aug 5, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 5, 2021F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $48,685 .

DateTypeFinePayment denial
Mar 14, 2025Fine$48,685—
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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