Facility profile · CCN 225453
Carvalho Grove Health And Rehabilitation Center
44 federal citations on record , and 5 federal enforcement actions totaling $22,526.
Record summary
Federal record · Q1 202644
Total citations
38
Last 3 years
0
Actual harm+
5
Federal penalties
$22,526
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 |
|---|---|---|---|---|
| Feb 19, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Feb 19, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 19, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Feb 19, 2025 | F844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | B | Standard |
| Feb 19, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 19, 2025 | F838 | Conduct 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. | F | Standard |
| Feb 19, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 19, 2025 | F758 | Implement 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. | D | Standard |
| Feb 19, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Feb 19, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Feb 19, 2025 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
| Feb 19, 2025 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard |
| Feb 19, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Feb 19, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 19, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Feb 19, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Feb 19, 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. | E | Standard |
| Feb 19, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Feb 19, 2025 | 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 |
| Feb 19, 2025 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Feb 19, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Feb 19, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Sep 10, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint |
| Sep 10, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Sep 10, 2024 | 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 |
| Dec 27, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 27, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 27, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Dec 27, 2023 | F758 | Implement 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. | D | Standard |
| Dec 27, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 27, 2023 | 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 |
| Dec 27, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Dec 27, 2023 | F727 | Have 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. | E | Standard |
| Dec 27, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 27, 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 | Standard |
| Dec 27, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Dec 27, 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 | Standard |
| Dec 27, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Nov 19, 2021 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Nov 19, 2021 | 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 |
| Nov 19, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Nov 19, 2021 | 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 |
| Nov 19, 2021 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Nov 19, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 5 civil money penalties totaling $22,526 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 8, 2024 | Fine | $4,178 | — |
| Jan 2, 2024 | Fine | $3,529 | — |
| Dec 11, 2023 | Fine | $8,469 | — |
| Nov 20, 2023 | Fine | $2,117 | — |
| Oct 30, 2023 | Fine | $4,233 | — |
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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