Facility profile · CCN 365977
Circle Of Care
42 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $179,235.
Record summary
Federal record · Q1 202642
Total citations
21
Last 3 years
2
Actual harm+
2
Federal penalties
$179,235
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
42 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 12, 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 | Complaint |
| Apr 9, 2025 | F880 | Provide and implement an infection prevention and control program. | L | Complaint |
| Apr 9, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Apr 9, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Apr 9, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Apr 9, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Apr 9, 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 |
| Apr 9, 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. | D | Standard |
| Apr 9, 2025 | F714 | Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | E | Standard |
| Apr 9, 2025 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
| Apr 9, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Apr 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 9, 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. | D | Standard |
| Apr 9, 2025 | 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 |
| Apr 9, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 9, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Apr 9, 2025 | F625 | Notify 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. | B | Standard |
| Apr 9, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Apr 9, 2025 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Apr 23, 2024 | 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 | Complaint |
| Aug 3, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| May 2, 2022 | F885 | Report COVID19 data to residents and families. | E | Standard |
| May 2, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 2, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 2, 2022 | F693 | Ensure 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. | D | Standard |
| May 2, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| May 2, 2022 | 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 |
| May 2, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| May 2, 2022 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | Standard |
| May 2, 2022 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard |
| May 2, 2022 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| May 2, 2022 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard |
| Jul 3, 2019 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jul 3, 2019 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Jul 3, 2019 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jul 3, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 3, 2019 | F693 | Ensure 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. | D | Standard |
| Jul 3, 2019 | F688 | Provide 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. | D | Standard |
| Jul 3, 2019 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Jul 3, 2019 | 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 | Standard |
| Jul 3, 2019 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jul 3, 2019 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $179,235 and 1 payment-denial actions spanning 14 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 9, 2025 | Fine | $179,235 | — |
| Apr 9, 2025 | Payment Denial | — | May 1, 2025 · 14 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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