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Facility profile · CCN 395868

Embassy Of Hearthside

74 federal citations on record , and 4 federal enforcement actions totaling $23,995.

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Record summary

Federal record · Q1 2026
74
Total citations
74
Last 3 years
3
Actual harm+
4
Federal penalties
$23,995
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

74 on record
SurveyF-TagViolationSeveritySource
Oct 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Aug 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Aug 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jun 11, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 14, 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
Mar 14, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Mar 14, 2025F880Provide and implement an infection prevention and control program.EStandard
Mar 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 14, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Mar 14, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Mar 14, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Mar 14, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Mar 14, 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.EStandard
Mar 14, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 14, 2025F692Provide enough food/fluids to maintain a resident's health.GStandard
Mar 14, 2025F688Provide 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.DStandard
Mar 14, 2025F687Provide appropriate foot care.DStandard
Mar 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 14, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Mar 14, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
Mar 14, 2025F578Honor 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
Mar 14, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Nov 22, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 13, 2024F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.EComplaint
Sep 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Apr 26, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Apr 26, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Apr 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 26, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 26, 2024F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.DStandard
Apr 26, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 26, 2024F791Provide or obtain dental services for each resident.DStandard
Apr 26, 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.DStandard
Apr 26, 2024F758Implement 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
Apr 26, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Apr 26, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Apr 26, 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.DStandard
Apr 26, 2024F699Provide care or services that was trauma informed and/or culturally competent.EStandard
Apr 26, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 26, 2024F688Provide 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.EStandard
Apr 26, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 26, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Apr 26, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 26, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Feb 15, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Feb 15, 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
Nov 22, 2023F610Respond appropriately to all alleged violations.EComplaint
Sep 19, 2023F584Honor 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
Aug 15, 2023F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DComplaint
May 5, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
May 5, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 5, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 5, 2023F688Provide 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.EComplaint
May 5, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 5, 2023F584Honor 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 5, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
May 5, 2023F850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard
May 5, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 5, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
May 5, 2023F791Provide or obtain dental services for each resident.DStandard
May 5, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
May 5, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
May 5, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
May 5, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 5, 2023F692Provide enough food/fluids to maintain a resident's health.EStandard
May 5, 2023F687Provide appropriate foot care.DStandard
May 5, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 5, 2023F679Provide activities to meet all resident's needs.DStandard
May 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
May 5, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
May 5, 2023F583Keep residents' personal and medical records private and confidential.DStandard
May 5, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $23,995 .

DateTypeFinePayment denial
Aug 21, 2023Fine$4,587
Aug 14, 2023Fine$4,587
Aug 7, 2023Fine$4,235
Jul 17, 2023Fine$10,586
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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