Facility profile · CCN 315349
Complete Care At Inglemoor, Llc
39 federal citations on record .
Record summary
Federal record · Q1 202639
Total citations
20
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
39 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 7, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 7, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Nov 7, 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 |
| Mar 13, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Mar 13, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 13, 2025 | 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. | D | Standard |
| Mar 13, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Mar 13, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 13, 2025 | F761 | Ensure 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. | D | Standard |
| Mar 13, 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 |
| Mar 13, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 13, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 13, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 13, 2025 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Mar 13, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Mar 13, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 13, 2025 | 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 |
| Mar 13, 2025 | 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 |
| Mar 13, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 3, 2024 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint |
| Jan 26, 2023 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Jan 26, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jan 26, 2023 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Jan 26, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jan 26, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jan 26, 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. | E | Standard |
| Jan 26, 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. | E | Standard |
| Jan 26, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 26, 2023 | F732 | Post nurse staffing information every day. | D | Standard |
| Jan 26, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Jan 26, 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 |
| May 5, 2021 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| May 5, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 5, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 5, 2021 | F803 | Ensure 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. | E | Standard |
| May 5, 2021 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| May 5, 2021 | F761 | Ensure 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. | D | Standard |
| May 5, 2021 | 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 |
| May 5, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
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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