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Facility profile · CCN 395791

Complete Care At Harston Hall Llc

90 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $17,113.

Abuse Icon 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
90
Total citations
90
Last 3 years
2
Actual harm+
2
Federal penalties
$17,113
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

90 on record
SurveyF-TagViolationSeveritySource
Jan 20, 2026F584Honor 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.DComplaint
Sep 17, 2025F610Respond appropriately to all alleged violations.DComplaint
Sep 17, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Apr 25, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Apr 25, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Apr 25, 2025F908Keep all essential equipment working safely.DComplaint
Apr 25, 2025F880Provide and implement an infection prevention and control program.EComplaint
Apr 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Apr 25, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Apr 25, 2025F761Ensure 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.DComplaint
Apr 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 25, 2025F730Observe each nurse aide's job performance and give regular training.EComplaint
Apr 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 25, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Apr 25, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Apr 25, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Apr 25, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 25, 2025F610Respond appropriately to all alleged violations.DComplaint
Apr 25, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Apr 25, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
Apr 25, 2025F584Honor 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.EComplaint
Apr 25, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 25, 2025F726Ensure 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
Jan 21, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 5, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BComplaint
Aug 15, 2024F895Have a Compliance and Ethics Program.EComplaint
Aug 15, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Aug 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JComplaint
Aug 15, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.KComplaint
Aug 15, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Aug 15, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint
Jun 21, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Jun 21, 2024F881Implement a program that monitors antibiotic use.EStandard
Jun 21, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 21, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 21, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jun 21, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jun 21, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jun 21, 2024F732Post nurse staffing information every day.EStandard
Jun 21, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
Jun 21, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 21, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 21, 2024F688Provide 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
Jun 21, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Jun 21, 2024F679Provide activities to meet all resident's needs.DStandard
Jun 21, 2024F585Honor 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.EStandard
Jun 21, 2024F584Honor 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.EStandard
Jun 21, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Jun 21, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jun 21, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jun 21, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Sep 21, 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
Sep 21, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint
Sep 21, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Sep 21, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
Sep 21, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Sep 21, 2023F880Provide and implement an infection prevention and control program.DStandard
Sep 21, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Sep 21, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 21, 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.DStandard
Sep 21, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 21, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 21, 2023F732Post nurse staffing information every day.DStandard
Sep 21, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Sep 21, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Sep 21, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Sep 21, 2023F688Provide 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
Sep 21, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Sep 21, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 21, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 21, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 21, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Sep 21, 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.DStandard
Sep 21, 2023F610Respond appropriately to all alleged violations.EStandard
Sep 21, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Sep 21, 2023F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DStandard
Sep 21, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Sep 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Sep 21, 2023F585Honor 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.DStandard
Sep 21, 2023F583Keep residents' personal and medical records private and confidential.DStandard
Sep 21, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Sep 21, 2023F567Honor the resident's right to manage his or her financial affairs.DStandard
Sep 21, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Sep 21, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Sep 21, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jun 28, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $17,113 .

DateTypeFinePayment denial
Jun 21, 2024Fine$8,556
Jun 21, 2024Fine$8,557
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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