Facility profile · CCN 225267
Garden Place Healthcare
46 federal citations on record , and 2 federal enforcement actions totaling $82,488.
Record summary
Federal record · Q1 202646
Total citations
34
Last 3 years
2
Actual harm+
2
Federal penalties
$82,488
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
46 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Nov 6, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 6, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Nov 6, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Nov 6, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Nov 6, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Nov 6, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Nov 6, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 6, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Nov 6, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Nov 6, 2024 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard |
| Oct 1, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 16, 2023 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard |
| Aug 16, 2023 | F908 | Keep all essential equipment working safely. | E | Standard |
| Aug 16, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 16, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Aug 16, 2023 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Aug 16, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Aug 16, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 16, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Aug 16, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Aug 16, 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 |
| Aug 16, 2023 | F700 | Try 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. | E | Standard |
| Aug 16, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Aug 16, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Aug 16, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Aug 16, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 16, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Aug 16, 2023 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Aug 16, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Aug 16, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Aug 16, 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. | E | Standard |
| Aug 16, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Aug 16, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Feb 4, 2020 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard |
| Feb 4, 2020 | F908 | Keep all essential equipment working safely. | D | Standard |
| Feb 4, 2020 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 4, 2020 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard |
| Feb 4, 2020 | F758 | Implement 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. | D | Standard |
| Feb 4, 2020 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 4, 2020 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 4, 2020 | 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 |
| Feb 4, 2020 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Feb 4, 2020 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Feb 4, 2020 | 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 |
| Feb 4, 2020 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $82,488 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 6, 2024 | Fine | $27,372 | — |
| Aug 16, 2023 | Fine | $55,116 | — |
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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