Facility profile · CCN 525242
Complete Care At Kensington
39 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $66,632.
Record summary
Federal record · Q1 202639
Total citations
27
Last 3 years
3
Actual harm+
1
Federal penalties
$66,632
Total fines
1
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 |
|---|---|---|---|---|
| May 21, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 21, 2025 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard |
| May 21, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 21, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| May 21, 2025 | F687 | Provide appropriate foot care. | D | Standard |
| May 21, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| May 21, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard |
| May 21, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| May 21, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Feb 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 22, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Feb 22, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Feb 22, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Feb 22, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard |
| Feb 22, 2024 | 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 |
| Feb 22, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Feb 22, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 22, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Feb 22, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Feb 22, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Jan 30, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Complaint |
| Jan 30, 2024 | F946 | Provide training in compliance and ethics. | F | Complaint |
| Jan 30, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint |
| Jan 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jan 30, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Oct 6, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Oct 6, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Nov 10, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 10, 2022 | 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 |
| Nov 10, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Nov 10, 2022 | 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. | D | Standard |
| Nov 10, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Nov 10, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Nov 10, 2022 | 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 |
| Nov 10, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 10, 2022 | 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 |
| Nov 10, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Nov 10, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Nov 10, 2022 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $66,632 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 30, 2024 | Fine | $66,632 | — |
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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