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Facility profile · CCN 365644

Embassy Of Winchester

79 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $198,607.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
79
Total citations
48
Last 3 years
6
Actual harm+
3
Federal penalties
$198,607
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

79 on record
SurveyF-TagViolationSeveritySource
Jan 27, 2026F880Provide and implement an infection prevention and control program.DComplaint
Jan 27, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jan 27, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 5, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Aug 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 5, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DComplaint
Jul 1, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Jul 1, 2025F679Provide activities to meet all resident's needs.EComplaint
Dec 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 5, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Dec 5, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 5, 2024F881Implement a program that monitors antibiotic use.DStandard
Dec 5, 2024F880Provide and implement an infection prevention and control program.FStandard
Dec 5, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 5, 2024F791Provide or obtain dental services for each resident.DStandard
Dec 5, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Dec 5, 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
Dec 5, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 5, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 5, 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.FStandard
Dec 5, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 5, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 5, 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.DStandard
Dec 5, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 5, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Feb 15, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Nov 16, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Nov 16, 2023F908Keep all essential equipment working safely.DStandard
Nov 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 16, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Nov 16, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Nov 16, 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 16, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Nov 16, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 16, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Nov 16, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Nov 16, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 16, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard
Nov 16, 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
Sep 20, 2023F679Provide activities to meet all resident's needs.DComplaint
Aug 3, 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.GComplaint
Aug 3, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 5, 2021F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Nov 5, 2021F880Provide and implement an infection prevention and control program.LStandard
Nov 5, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 5, 2021F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Nov 5, 2021F791Provide or obtain dental services for each resident.DStandard
Nov 5, 2021F761Ensure 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.EStandard
Nov 5, 2021F758Implement 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 5, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 5, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 5, 2021F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EStandard
Nov 5, 2021F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Nov 5, 2021F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Nov 5, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 5, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Nov 5, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Nov 5, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Nov 5, 2021F685Assist a resident in gaining access to vision and hearing services.DStandard
Nov 5, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 5, 2021F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard
Nov 5, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Nov 5, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 5, 2021F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Nov 5, 2021F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Nov 5, 2021F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard
Nov 5, 2021F584Honor 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
Nov 5, 2021F583Keep residents' personal and medical records private and confidential.DStandard
Nov 5, 2021F578Honor 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
Nov 5, 2021F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Nov 5, 2021F565Honor the resident's right to organize and participate in resident/family groups in the facility.CStandard
Nov 5, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard
Nov 5, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $198,607 and 1 payment-denial actions spanning 80 days.

DateTypeFinePayment denial
Nov 16, 2023Fine$167,295
Nov 16, 2023Payment DenialDec 15, 2023 · 80 days
Aug 3, 2023Fine$31,312
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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