Facility profile · CCN 395868
Embassy Of Hearthside
74 federal citations on record , and 4 federal enforcement actions totaling $23,995.
Record summary
Federal record · Q1 202674
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 7, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Aug 25, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Aug 25, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Jun 11, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Mar 14, 2025 | 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 |
| Mar 14, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard |
| Mar 14, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 14, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 14, 2025 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Mar 14, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Mar 14, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Mar 14, 2025 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Mar 14, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Mar 14, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 14, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Mar 14, 2025 | 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 |
| Mar 14, 2025 | F687 | Provide appropriate foot care. | D | Standard |
| Mar 14, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 14, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Mar 14, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard |
| Mar 14, 2025 | 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 14, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Nov 22, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 13, 2024 | F772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | E | Complaint |
| Sep 18, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Apr 26, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Apr 26, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint |
| Apr 26, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 26, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 26, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 26, 2024 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | Standard |
| Apr 26, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 26, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Apr 26, 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 | Standard |
| Apr 26, 2024 | F758 | Implement 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. | D | Standard |
| Apr 26, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Apr 26, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Apr 26, 2024 | F700 | Try 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. | D | Standard |
| Apr 26, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard |
| Apr 26, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 26, 2024 | 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. | E | Standard |
| Apr 26, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Apr 26, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Apr 26, 2024 | 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 |
| Apr 26, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Feb 15, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Feb 15, 2024 | F625 | Notify 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. | D | Complaint |
| Nov 22, 2023 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Sep 19, 2023 | 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 | Complaint |
| Aug 15, 2023 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Complaint |
| May 5, 2023 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| May 5, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| May 5, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 5, 2023 | 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. | E | Complaint |
| May 5, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 5, 2023 | 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 | Complaint |
| May 5, 2023 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard |
| May 5, 2023 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard |
| May 5, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 5, 2023 | F803 | Ensure 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. | D | Standard |
| May 5, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| May 5, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| May 5, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| May 5, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| May 5, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 5, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| May 5, 2023 | F687 | Provide appropriate foot care. | D | Standard |
| May 5, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 5, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 5, 2023 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| May 5, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| May 5, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| May 5, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| May 5, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $23,995 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 21, 2023 | Fine | $4,587 | — |
| Aug 14, 2023 | Fine | $4,587 | — |
| Aug 7, 2023 | Fine | $4,235 | — |
| Jul 17, 2023 | Fine | $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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