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Facility profile · CCN 366114

Embassy Of Lyndhurst

74 federal citations on record , and 3 federal enforcement actions totaling $78,404.

Record summary

Federal record · Q1 2026
74
Total citations
64
Last 3 years
4
Actual harm+
3
Federal penalties
$78,404
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

74 on record
SurveyF-TagViolationSeveritySource
Apr 7, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 7, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EComplaint
Apr 7, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Apr 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Apr 7, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 7, 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
Apr 7, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Apr 7, 2025F838Conduct 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.FStandard
Apr 7, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 7, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 7, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 7, 2025F625Notify 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.BStandard
Apr 7, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Apr 7, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 7, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 7, 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
Apr 7, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 7, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 7, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Apr 7, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 7, 2025F880Provide and implement an infection prevention and control program.FComplaint
Apr 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jan 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Dec 5, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Oct 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 16, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Jul 30, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 30, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 23, 2024F880Provide and implement an infection prevention and control program.FComplaint
Apr 23, 2024F814Dispose of garbage and refuse properly.FComplaint
Apr 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Apr 23, 2024F803Ensure 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.EComplaint
Apr 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 5, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Mar 5, 2024F880Provide and implement an infection prevention and control program.DComplaint
Mar 5, 2024F850Hire a qualified full-time social worker in a facility with more than 120 beds.FComplaint
Mar 5, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Mar 5, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
Mar 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 5, 2024F680Ensure the activities program is directed by a qualified professional.FComplaint
Mar 5, 2024F679Provide activities to meet all resident's needs.FComplaint
Mar 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 5, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint
Mar 5, 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.EComplaint
Mar 5, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Nov 23, 2023F758Implement 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
Nov 23, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 23, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Nov 23, 2023F622Not 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
Nov 23, 2023F578Honor 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
Oct 12, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Sep 22, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 22, 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
Sep 22, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 27, 2023F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Jul 6, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jul 6, 2023F791Provide or obtain dental services for each resident.DComplaint
Jul 6, 2023F687Provide appropriate foot care.DComplaint
Jul 6, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 6, 2023F585Honor 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.DComplaint
Jul 6, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jun 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 27, 2020F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard
Feb 27, 2020F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Feb 27, 2020F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Feb 27, 2020F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 27, 2020F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 27, 2020F641Ensure each resident receives an accurate assessment.DStandard
Feb 27, 2020F625Notify 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.CStandard
Feb 27, 2020F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Feb 27, 2020F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Feb 27, 2020F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $78,404 and 1 payment-denial actions spanning 12 days.

DateTypeFinePayment denial
Sep 22, 2023Fine$44,970
Sep 22, 2023Payment DenialOct 14, 2023 · 12 days
Jun 15, 2023Fine$33,434
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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