Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 095019

Deanwood Rehabilitation And Wellness Center

104 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $80,262.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
104
Total citations
32
Last 3 years
5
Actual harm+
1
Federal penalties
$80,262
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights27 Quality of Care22 Care Planning20 Abuse & Neglect8 Medication & Pharmacy7

Most common F-tags at this facility

F5846 F6844 F6414 F6564 F7263

Citation history

104 on record
SurveyF-TagViolationSeveritySource
Sep 17, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Sep 17, 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.EComplaint
Aug 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 20, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Aug 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 31, 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.DComplaint
Jan 31, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Nov 11, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Nov 11, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint
May 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
May 23, 2024F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DComplaint
May 23, 2024F761Ensure 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.DComplaint
May 23, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 23, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
May 23, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
May 23, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
May 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
May 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 23, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
May 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 23, 2024F641Ensure each resident receives an accurate assessment.DComplaint
May 23, 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.DComplaint
May 23, 2024F610Respond appropriately to all alleged violations.DComplaint
May 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 23, 2024F585Honor 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.EComplaint
May 23, 2024F584Honor 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.DComplaint
May 23, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
May 23, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint
May 23, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 11, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 20, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Apr 20, 2022F880Provide and implement an infection prevention and control program.FStandard
Apr 20, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Apr 20, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Apr 20, 2022F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.CStandard
Apr 20, 2022F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.EStandard
Apr 20, 2022F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EStandard
Apr 20, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 20, 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
Apr 20, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 20, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 20, 2022F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DStandard
Apr 20, 2022F732Post nurse staffing information every day.CStandard
Apr 20, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Apr 20, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Apr 20, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 20, 2022F695Provide safe and appropriate respiratory care for a resident when needed.HStandard
Apr 20, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HStandard
Apr 20, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Apr 20, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Apr 20, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 20, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Apr 20, 2022F660Plan the resident's discharge to meet the resident's goals and needs.EStandard
Apr 20, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 20, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 20, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 20, 2022F641Ensure each resident receives an accurate assessment.EStandard
Apr 20, 2022F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Apr 20, 2022F625Notify 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.DStandard
Apr 20, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 20, 2022F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 20, 2022F610Respond appropriately to all alleged violations.EStandard
Apr 20, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 20, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Apr 20, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HStandard
Apr 20, 2022F584Honor 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.EStandard
Apr 20, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 20, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 20, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 20, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 29, 2020F880Provide and implement an infection prevention and control program.EStandard
Jul 29, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 29, 2020F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 29, 2020F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 29, 2020F641Ensure each resident receives an accurate assessment.DStandard
Jul 29, 2020F584Honor 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.CStandard
Jul 29, 2020F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jul 29, 2020F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 26, 2019F908Keep all essential equipment working safely.EStandard
Mar 26, 2019F880Provide and implement an infection prevention and control program.EStandard
Mar 26, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 26, 2019F761Ensure 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
Mar 26, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 26, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 26, 2019F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Mar 26, 2019F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 26, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 26, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 26, 2019F679Provide activities to meet all resident's needs.DStandard
Mar 26, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 26, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 26, 2019F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 26, 2019F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Mar 26, 2019F641Ensure each resident receives an accurate assessment.DStandard
Mar 26, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 26, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Mar 26, 2019F610Respond appropriately to all alleged violations.DStandard
Mar 26, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $80,262 .

DateTypeFinePayment denial
May 23, 2024Fine$80,262—
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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