Facility profile · CCN 215052
Complete Care At Springbrook
39 federal citations on record , including 1 at the Immediate Jeopardy level.
Record summary
Federal record · Q1 202639
Total citations
14
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
4
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 |
|---|---|---|---|---|
| Dec 19, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Dec 19, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Dec 19, 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 | Complaint |
| Dec 19, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Dec 19, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 19, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Mar 14, 2025 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint |
| Mar 14, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Mar 14, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 18, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Dec 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 18, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Dec 18, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Dec 18, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 16, 2020 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 16, 2020 | 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 |
| Sep 16, 2020 | 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 |
| Sep 16, 2020 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Sep 16, 2020 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 16, 2020 | F585 | Honor 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. | D | Standard |
| Sep 16, 2020 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Sep 12, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard |
| Sep 12, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Sep 12, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Sep 12, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 12, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 12, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 12, 2019 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Sep 12, 2019 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| Mar 29, 2019 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | E | Standard |
| Mar 29, 2019 | 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 29, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Mar 29, 2019 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Mar 29, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Mar 29, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Mar 29, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 29, 2019 | 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 |
| Mar 29, 2019 | F572 | Give residents a notice of rights, rules, services and charges. | D | Standard |
| Mar 29, 2019 | F551 | Give the resident's representative the ability to exercise the resident's rights. | 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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