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.
Record summary
Federal record · Q1 202640
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 26, 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. | D | Complaint |
| Apr 29, 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 | Complaint |
| Apr 29, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Mar 4, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 22, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| May 22, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 22, 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 |
| May 22, 2024 | F887 | Educate 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. | E | Standard |
| May 22, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 22, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 22, 2024 | 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 |
| May 22, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| May 22, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 22, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 22, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 22, 2024 | 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 22, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| May 22, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| May 22, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| May 22, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| May 22, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| May 22, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| May 22, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Apr 26, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Feb 29, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Feb 1, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Jul 12, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jul 12, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 12, 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 | Complaint |
| Nov 19, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Nov 19, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Nov 19, 2021 | F578 | Honor 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. | D | Standard |
| Jul 5, 2019 | F908 | Keep all essential equipment working safely. | E | Standard |
| Jul 5, 2019 | F791 | Provide or obtain dental services for each resident. | E | Standard |
| Jul 5, 2019 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jul 5, 2019 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Jul 5, 2019 | 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 |
| Jul 5, 2019 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard |
| Jul 5, 2019 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Jul 5, 2019 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $25,449 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 29, 2024 | Fine | $16,801 | — |
| Jul 12, 2023 | Fine | $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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