Facility profile · CCN 675849
Focused Care At Burnet Bay
29 federal citations on record , including 5 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $12,893.
Record summary
Federal record · Q1 202629
Total citations
23
Last 3 years
5
Actual harm+
1
Federal penalties
$12,893
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
29 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Mar 6, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 6, 2025 | 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 |
| Mar 6, 2025 | 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 |
| Mar 6, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 6, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 6, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Mar 6, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Apr 23, 2024 | 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. | J | Complaint |
| Apr 23, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 23, 2024 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | J | Complaint |
| Dec 13, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint |
| Dec 13, 2023 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint |
| Dec 13, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint |
| Dec 13, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 13, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Dec 13, 2023 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard |
| Dec 13, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard |
| Dec 13, 2023 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Dec 13, 2023 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard |
| Dec 13, 2023 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard |
| Dec 13, 2023 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard |
| Sep 25, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 25, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | Complaint |
| Oct 5, 2022 | F908 | Keep all essential equipment working safely. | D | Standard |
| Oct 5, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 5, 2022 | 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. | E | Standard |
| Oct 5, 2022 | 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 |
| Oct 5, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Oct 5, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $12,893 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 25, 2023 | Fine | $12,893 | — |
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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