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Facility profile · CCN 315110

Complete Care At Wayne Hills Rehab & Resp Center

31 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $54,406.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
31
Total citations
24
Last 3 years
1
Actual harm+
1
Federal penalties
$54,406
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

31 on record
SurveyF-TagViolationSeveritySource
Dec 11, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 11, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 3, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 3, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 3, 2025F732Post nurse staffing information every day.CStandard
Dec 3, 2025F700Try 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.DStandard
Dec 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 3, 2025F679Provide activities to meet all resident's needs.DStandard
Dec 3, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 3, 2025F641Ensure each resident receives an accurate assessment.DStandard
Dec 3, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Dec 3, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Dec 3, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Dec 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 18, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Sep 10, 2024F610Respond appropriately to all alleged violations.DComplaint
Sep 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 24, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EStandard
May 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 24, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 24, 2024F641Ensure each resident receives an accurate assessment.DStandard
May 24, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Sep 26, 2023F880Provide and implement an infection prevention and control program.FComplaint
Feb 23, 2022F880Provide and implement an infection prevention and control program.EStandard
Feb 23, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Feb 23, 2022F761Ensure 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.DStandard
Feb 23, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Feb 23, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Feb 23, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 23, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $54,406 .

DateTypeFinePayment denial
Jul 18, 2025Fine$54,406
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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