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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.

Abuse Icon 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
84
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
SurveyF-TagViolationSeveritySource
Jan 13, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Nov 26, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 26, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Nov 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Nov 26, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Nov 26, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Nov 26, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 8, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Jul 2, 2025F926Have policies on smoking.DStandard
Jul 2, 2025F908Keep all essential equipment working safely.FStandard
Jul 2, 2025F880Provide and implement an infection prevention and control program.DStandard
Jul 2, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 2, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jul 2, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Jul 2, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 2, 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.DStandard
Apr 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Feb 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Dec 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 24, 2024F881Implement a program that monitors antibiotic use.EComplaint
May 24, 2024F880Provide and implement an infection prevention and control program.EComplaint
May 24, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DComplaint
May 24, 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.DComplaint
May 24, 2024F578Honor 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.DComplaint
May 24, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
May 24, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.EComplaint
May 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 24, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
May 24, 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.DStandard
May 24, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 24, 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.DStandard
May 24, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
May 24, 2024F760Ensure that residents are free from significant medication errors.DStandard
May 24, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
May 24, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
May 24, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 24, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 24, 2024F688Provide 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.DStandard
May 24, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard
May 24, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 24, 2024F583Keep residents' personal and medical records private and confidential.JStandard
Mar 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 24, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Feb 14, 2024F840Employ 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.DComplaint
Feb 14, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.GComplaint
Feb 14, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Feb 14, 2024F610Respond appropriately to all alleged violations.DComplaint
Feb 14, 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
Feb 14, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 14, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 9, 2023F880Provide and implement an infection prevention and control program.LComplaint
Oct 9, 2023F761Ensure 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.DComplaint
Oct 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 25, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 25, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 25, 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
Mar 9, 2023F880Provide and implement an infection prevention and control program.EComplaint
Mar 9, 2023F610Respond appropriately to all alleged violations.EComplaint
Mar 9, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Mar 9, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Mar 9, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 9, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Mar 9, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 9, 2023F808Ensure 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.DStandard
Mar 9, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Mar 9, 2023F761Ensure 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.DStandard
Mar 9, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 9, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 9, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 9, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 9, 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.EStandard
Mar 9, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Mar 9, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Mar 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 9, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 9, 2023F641Ensure each resident receives an accurate assessment.DStandard
Mar 9, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Mar 9, 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.DStandard
Mar 9, 2023F584Honor 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.DStandard
Mar 9, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Mar 9, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Mar 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint

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.

DateTypeFinePayment denial
Jun 25, 2025Payment DenialJul 25, 2025 · 7 days
Jun 25, 2025Fine$24,845
Jun 25, 2025Fine$24,845
May 24, 2024Fine$127,486
Feb 14, 2024Fine$12,259
Oct 9, 2023Fine$51,253
Oct 9, 2023Payment DenialNov 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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