Facility profile · CCN 105292
Eagle Lake Nursing And Rehab Care Center
49 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $312,600.
Record summary
Federal record · Q1 202649
Total citations
31
Last 3 years
6
Actual harm+
2
Federal penalties
$312,600
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
49 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 18, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | G | Complaint |
| Sep 18, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Sep 18, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | G | Complaint |
| Aug 29, 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 | Complaint |
| Aug 29, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Aug 29, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Complaint |
| Aug 29, 2024 | F584 | Honor 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. | E | Complaint |
| Aug 29, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Aug 29, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Aug 29, 2024 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard |
| Aug 29, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Aug 29, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 29, 2024 | F760 | Ensure that residents are free from significant medication errors. | G | Standard |
| Aug 29, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 29, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 29, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 29, 2024 | 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 |
| Aug 29, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Aug 29, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 29, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Nov 2, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 2, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Nov 2, 2023 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | K | Complaint |
| Nov 2, 2023 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint |
| Nov 2, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Nov 2, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 2, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | K | Complaint |
| Aug 7, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Aug 7, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Aug 7, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Aug 7, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Sep 8, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Sep 8, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Sep 8, 2022 | 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 8, 2022 | 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 8, 2022 | 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 8, 2022 | F578 | Honor 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. | D | Standard |
| Mar 18, 2021 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard |
| Mar 18, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 18, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Mar 18, 2021 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 18, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Mar 18, 2021 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Mar 18, 2021 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Mar 18, 2021 | 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 18, 2021 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 18, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 18, 2021 | 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 |
| Mar 18, 2021 | F584 | Honor 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. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $312,600 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 29, 2024 | Fine | $152,887 | — |
| Nov 2, 2023 | Fine | $159,713 | — |
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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