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Facility profile · CCN 215184

Frederick Crossing Of Journey

113 federal citations on record , and 1 federal enforcement actions totaling $13,538.

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Record summary

Federal record · Q1 2026
113
Total citations
69
Last 3 years
3
Actual harm+
1
Federal penalties
$13,538
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

113 on record
SurveyF-TagViolationSeveritySource
Jan 30, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 16, 2025F610Respond appropriately to all alleged violations.DComplaint
Oct 16, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Feb 27, 2025F880Provide and implement an infection prevention and control program.DComplaint
Feb 27, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Oct 30, 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.DComplaint
Oct 30, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Oct 30, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Oct 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Oct 30, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 30, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 30, 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.DStandard
Oct 30, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 30, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Oct 30, 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
Oct 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 30, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Oct 30, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 30, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 30, 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
Oct 30, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 17, 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
May 17, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 17, 2023F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint
May 17, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 17, 2023F610Respond appropriately to all alleged violations.EComplaint
May 17, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
May 17, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
May 17, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
May 17, 2023F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.EComplaint
May 17, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
May 17, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
May 17, 2023F641Ensure each resident receives an accurate assessment.EComplaint
May 17, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EComplaint
May 17, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
May 17, 2023F622Not 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
May 17, 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.EComplaint
May 17, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 17, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
May 17, 2023F888Ensure staff are vaccinated for COVID-19DStandard
May 17, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
May 17, 2023F880Provide and implement an infection prevention and control program.DStandard
May 17, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
May 17, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
May 17, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 17, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DStandard
May 17, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
May 17, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
May 17, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
May 17, 2023F730Observe each nurse aide's job performance and give regular training.DStandard
May 17, 2023F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard
May 17, 2023F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DStandard
May 17, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
May 17, 2023F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
May 17, 2023F692Provide enough food/fluids to maintain a resident's health.EStandard
May 17, 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.DStandard
May 17, 2023F685Assist a resident in gaining access to vision and hearing services.DStandard
May 17, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 17, 2023F679Provide activities to meet all resident's needs.EStandard
May 17, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 17, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 17, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
May 17, 2023F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
May 17, 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.EStandard
May 17, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Sep 10, 2019F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Sep 10, 2019F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Sep 10, 2019F880Provide and implement an infection prevention and control program.EStandard
Sep 10, 2019F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Sep 10, 2019F849Arrange 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
Sep 10, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard
Sep 10, 2019F814Dispose of garbage and refuse properly.EStandard
Sep 10, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 10, 2019F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Sep 10, 2019F775Keep complete, dated laboratory records in the resident's record.DStandard
Sep 10, 2019F761Ensure 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
Sep 10, 2019F759Ensure medication error rates are not 5 percent or greater.EStandard
Sep 10, 2019F758Implement 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
Sep 10, 2019F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Sep 10, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 10, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 10, 2019F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Sep 10, 2019F730Observe each nurse aide's job performance and give regular training.FStandard
Sep 10, 2019F726Ensure 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
Sep 10, 2019F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Sep 10, 2019F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EStandard
Sep 10, 2019F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Sep 10, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 10, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Sep 10, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 10, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Sep 10, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Sep 10, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 10, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FStandard
Sep 10, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FStandard
Sep 10, 2019F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $13,538 .

DateTypeFinePayment denial
Oct 30, 2024Fine$13,538
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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