Facility profile · CCN 455900
Focused Care At Mount Pleasant
84 federal citations on record , including 4 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $240,688.
Record summary
Federal record · Q1 202684
Total citations
54
Last 3 years
5
Actual harm+
7
Federal penalties
$240,688
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
84 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 13, 2026 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Nov 26, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 26, 2025 | 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 |
| Nov 26, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Nov 26, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Nov 26, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Nov 26, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Sep 8, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| Jul 2, 2025 | F926 | Have policies on smoking. | D | Standard |
| Jul 2, 2025 | F908 | Keep all essential equipment working safely. | F | Standard |
| Jul 2, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 2, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 2, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jul 2, 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. | D | Standard |
| Jul 2, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 2, 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. | D | Standard |
| Apr 17, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Feb 13, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Dec 19, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| May 24, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Complaint |
| May 24, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| May 24, 2024 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Complaint |
| May 24, 2024 | 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 24, 2024 | 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 | Complaint |
| May 24, 2024 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint |
| May 24, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint |
| May 24, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| May 24, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| May 24, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| May 24, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 24, 2024 | 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 24, 2024 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| May 24, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| May 24, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| May 24, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| May 24, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| May 24, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 24, 2024 | 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 | Standard |
| May 24, 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. | D | Standard |
| May 24, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard |
| May 24, 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. | E | Standard |
| May 24, 2024 | F583 | Keep residents' personal and medical records private and confidential. | J | Standard |
| Mar 24, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 24, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Feb 14, 2024 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Complaint |
| Feb 14, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G | Complaint |
| Feb 14, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Feb 14, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 14, 2024 | 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 |
| Feb 14, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Feb 14, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Oct 9, 2023 | F880 | Provide and implement an infection prevention and control program. | L | Complaint |
| Oct 9, 2023 | 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 | Complaint |
| Oct 9, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Mar 25, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 25, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Mar 25, 2023 | F585 | Honor 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. | D | Complaint |
| Mar 9, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Mar 9, 2023 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Mar 9, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Mar 9, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Mar 9, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 9, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard |
| Mar 9, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 9, 2023 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| Mar 9, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Mar 9, 2023 | 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 9, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Mar 9, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 9, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Mar 9, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 9, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Mar 9, 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 | Standard |
| Mar 9, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Mar 9, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Mar 9, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 9, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 9, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 9, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Mar 9, 2023 | F585 | Honor 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. | D | Standard |
| Mar 9, 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 | Standard |
| Mar 9, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Mar 9, 2023 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Mar 3, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
Federal enforcement history
Federal regulators have imposed 7 enforcement actions against this facility, including 5 civil money penalties totaling $240,688 and 2 payment-denial actions spanning 29 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 25, 2025 | Payment Denial | — | Jul 25, 2025 · 7 days |
| Jun 25, 2025 | Fine | $24,845 | — |
| Jun 25, 2025 | Fine | $24,845 | — |
| May 24, 2024 | Fine | $127,486 | — |
| Feb 14, 2024 | Fine | $12,259 | — |
| Oct 9, 2023 | Fine | $51,253 | — |
| Oct 9, 2023 | Payment Denial | — | Nov 8, 2023 · 22 days |
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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