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Facility profile · CCN 315136

Complete Care At Shrewsbury Llc

30 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $56,925.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
30
Total citations
25
Last 3 years
1
Actual harm+
2
Federal penalties
$56,925
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

30 on record
SurveyF-TagViolationSeveritySource
Sep 25, 2025F887Educate 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.DStandard
Sep 25, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Sep 25, 2025F880Provide and implement an infection prevention and control program.DStandard
Sep 25, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Sep 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 25, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Sep 25, 2025F641Ensure each resident receives an accurate assessment.EStandard
Sep 25, 2025F637Assess the resident when there is a significant change in conditionDStandard
Sep 25, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jan 16, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Jul 23, 2024F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DComplaint
May 30, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
May 30, 2024F700Try 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.DComplaint
May 30, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 30, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint
May 30, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
May 30, 2024F641Ensure each resident receives an accurate assessment.DComplaint
May 30, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EComplaint
May 30, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
May 30, 2024F610Respond appropriately to all alleged violations.DComplaint
May 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Mar 10, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 10, 2022F758Implement 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.DStandard
Mar 10, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 10, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 10, 2022F641Ensure each resident receives an accurate assessment.BStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $56,925 .

DateTypeFinePayment denial
May 30, 2024Fine$53,780
May 15, 2023Fine$3,145
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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