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Facility profile · CCN 075183

Complete Care At Fox Hill

40 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $25,449.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
40
Total citations
29
Last 3 years
2
Actual harm+
2
Federal penalties
$25,449
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

40 on record
SurveyF-TagViolationSeveritySource
Nov 26, 2025F585Honor 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.DComplaint
Apr 29, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Apr 29, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Mar 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 22, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
May 22, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 22, 2024F887Educate 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.EStandard
May 22, 2024F880Provide and implement an infection prevention and control program.EStandard
May 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 22, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 22, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
May 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 22, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 22, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 22, 2024F610Respond appropriately to all alleged violations.DStandard
May 22, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 22, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
May 22, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Apr 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 29, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Feb 1, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Jul 12, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jul 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 12, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 19, 2021F880Provide and implement an infection prevention and control program.DStandard
Nov 19, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Nov 19, 2021F578Honor 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.DStandard
Jul 5, 2019F908Keep all essential equipment working safely.EStandard
Jul 5, 2019F791Provide or obtain dental services for each resident.EStandard
Jul 5, 2019F760Ensure that residents are free from significant medication errors.DStandard
Jul 5, 2019F679Provide activities to meet all resident's needs.EStandard
Jul 5, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jul 5, 2019F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard
Jul 5, 2019F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Jul 5, 2019F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $25,449 .

DateTypeFinePayment denial
Feb 29, 2024Fine$16,801
Jul 12, 2023Fine$8,648
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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