Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215085

Carroll Park Healthcare

138 federal citations on record , including 5 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $306,550.

Abuse Icon Special Focus Status 5 Immediate Jeopardy

Record summary

Federal record · Q1 2026
138
Total citations
56
Last 3 years
8
Actual harm+
2
Federal penalties
$306,550
Total fines
—
Overall ★ rating

Most common violation categories here

Quality of Care30 Care Planning27 Resident Rights20 Medication & Pharmacy15 Abuse & Neglect14

Most common F-tags at this facility

F6094 F6104 F6584 F8424 F6003

Citation history

138 on record
SurveyF-TagViolationSeveritySource
May 14, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
May 14, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 14, 2025F730Observe each nurse aide's job performance and give regular training.DComplaint
May 14, 2025F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DComplaint
May 14, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 14, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 14, 2025F610Respond appropriately to all alleged violations.EComplaint
May 14, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 14, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
May 14, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 20, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Nov 20, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Nov 20, 2023F742Provide 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.DComplaint
Nov 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Nov 20, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Nov 20, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Nov 20, 2023F908Keep all essential equipment working safely.DComplaint
Nov 20, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Nov 20, 2023F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DComplaint
Nov 20, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Nov 20, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JComplaint
Nov 20, 2023F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Nov 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Nov 20, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Nov 20, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Nov 20, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Nov 20, 2023F622Not 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 20, 2023F610Respond appropriately to all alleged violations.EComplaint
Nov 20, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Nov 20, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Nov 20, 2023F574The resident has the right to receive notices in a format and a language he or she understands.DComplaint
Nov 20, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Nov 20, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
Nov 20, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Nov 20, 2023F880Provide and implement an infection prevention and control program.DStandard
Nov 20, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.KStandard
Nov 20, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Nov 20, 2023F850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard
Nov 20, 2023F814Dispose of garbage and refuse properly.DStandard
Nov 20, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 20, 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.EStandard
Nov 20, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 20, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Nov 20, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 20, 2023F679Provide activities to meet all resident's needs.DStandard
Nov 20, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard
Nov 20, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Nov 20, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 20, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Nov 20, 2023F641Ensure each resident receives an accurate assessment.DStandard
Nov 20, 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.DStandard
Nov 20, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Nov 20, 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.FStandard
Nov 20, 2023F578Honor 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.EStandard
Nov 20, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Nov 20, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard
Dec 11, 2019F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Dec 11, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Dec 11, 2019F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DStandard
Dec 11, 2019F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EStandard
Dec 11, 2019F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard
Dec 11, 2019F791Provide or obtain dental services for each resident.DStandard
Dec 11, 2019F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Dec 11, 2019F761Ensure 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
Dec 11, 2019F760Ensure that residents are free from significant medication errors.EStandard
Dec 11, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 11, 2019F758Implement 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.EStandard
Dec 11, 2019F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Dec 11, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Dec 11, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 11, 2019F730Observe each nurse aide's job performance and give regular training.EStandard
Dec 11, 2019F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Dec 11, 2019F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Dec 11, 2019F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.GStandard
Dec 11, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 11, 2019F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Dec 11, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 11, 2019F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 11, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 11, 2019F688Provide 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
Dec 11, 2019F687Provide appropriate foot care.DStandard
Dec 11, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Dec 11, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JStandard
Dec 11, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 11, 2019F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Dec 11, 2019F660Plan the resident's discharge to meet the resident's goals and needs.EStandard
Dec 11, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Dec 11, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Dec 11, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 11, 2019F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Dec 11, 2019F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 11, 2019F642Ensure a qualified health professional conducts resident assessments.DStandard
Dec 11, 2019F641Ensure each resident receives an accurate assessment.EStandard
Dec 11, 2019F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Dec 11, 2019F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Dec 11, 2019F625Notify 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.BStandard
Dec 11, 2019F624Prepare residents for a safe transfer or discharge from the nursing home.EStandard
Dec 11, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Dec 11, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Dec 11, 2019F610Respond appropriately to all alleged violations.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $306,550 and 1 payment-denial actions spanning 83 days.

DateTypeFinePayment denial
Nov 20, 2023Fine$306,550—
Nov 20, 2023Payment Denial—Feb 20, 2024 · 83 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.

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