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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055932

Four Seasons Healthcare & Wellness Center, Lp

133 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $87,215.

Abuse Icon Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
133
Total citations
115
Last 3 years
4
Actual harm+
4
Federal penalties
$87,215
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care30 Resident Rights26 Care Planning23 Medication & Pharmacy18 Nutrition & Dietary13

Most common F-tags at this facility

F84211 F6567 F6896 F8806 F6004

Citation history

133 on record
SurveyF-TagViolationSeveritySource
Jan 9, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 12, 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
Dec 4, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 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.DComplaint
Nov 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 13, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 24, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 24, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 15, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Aug 22, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Aug 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 2, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jun 13, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jun 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 25, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Apr 25, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Apr 25, 2025F881Implement a program that monitors antibiotic use.DStandard
Apr 25, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 25, 2025F808Ensure 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
Apr 25, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Apr 25, 2025F803Ensure 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.EStandard
Apr 25, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Apr 25, 2025F761Ensure 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
Apr 25, 2025F760Ensure that residents are free from significant medication errors.EStandard
Apr 25, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 25, 2025F758Implement 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.EStandard
Apr 25, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 25, 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
Apr 25, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 25, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Apr 25, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Apr 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Apr 25, 2025F688Provide 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
Apr 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 25, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 25, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Apr 25, 2025F585Honor 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.EStandard
Apr 25, 2025F583Keep residents' personal and medical records private and confidential.EStandard
Apr 25, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
Apr 25, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Apr 25, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 13, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 13, 2025F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Mar 13, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Mar 13, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Feb 11, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Jan 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jan 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 28, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Nov 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 8, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 8, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 29, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 11, 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
Jun 26, 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.EComplaint
May 9, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 3, 2024F760Ensure that residents are free from significant medication errors.EComplaint
May 3, 2024F610Respond appropriately to all alleged violations.DComplaint
May 3, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 3, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
May 3, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
May 3, 2024F881Implement a program that monitors antibiotic use.EStandard
May 3, 2024F880Provide and implement an infection prevention and control program.EStandard
May 3, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.BStandard
May 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 3, 2024F814Dispose of garbage and refuse properly.EStandard
May 3, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 3, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
May 3, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
May 3, 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.EStandard
May 3, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard
May 3, 2024F761Ensure 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
May 3, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
May 3, 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.EStandard
May 3, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
May 3, 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
May 3, 2024F692Provide enough food/fluids to maintain a resident's health.GStandard
May 3, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
May 3, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 3, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
May 3, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
May 3, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
May 3, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 3, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 3, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
May 3, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
May 3, 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
May 3, 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.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $87,215 .

DateTypeFinePayment denial
Nov 12, 2024Fine$27,706—
May 3, 2024Fine$35,783—
Oct 9, 2023Fine$11,863—
Oct 9, 2023Fine$11,863—
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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