Facility profile · CCN 525317
Complete Care At Jefferson Meadows Llc
22 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $73,275.
Record summary
Federal record · Q1 202622
Total citations
15
Last 3 years
3
Actual harm+
2
Federal penalties
$73,275
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
22 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 13, 2025 | F881 | Implement a program that monitors antibiotic use. | E | Complaint |
| May 13, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| May 13, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 13, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| May 13, 2025 | F880 | Provide and implement an infection prevention and control program. | C | Standard |
| May 13, 2025 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| May 13, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| May 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 |
| May 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. | E | Standard |
| May 13, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| May 13, 2025 | 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 13, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| May 13, 2025 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| May 13, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jan 31, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | K | Complaint |
| Feb 27, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Feb 27, 2023 | 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 |
| Feb 27, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard |
| Feb 27, 2023 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard |
| Feb 27, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Feb 27, 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 | Standard |
| Feb 27, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $73,275 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 13, 2025 | Fine | $19,135 | — |
| Jan 31, 2025 | Fine | $54,140 | — |
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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