Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395077

Garden Spring Rehab And Care Center

45 federal citations on record , including 1 at the Immediate Jeopardy level.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
Total citations
22
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care20 Resident Rights8 Care Planning5 Infection Control3 Medication & Pharmacy3

Most common F-tags at this facility

F6845 F8803 F6893 F6772 F6862

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Nov 5, 2025F880Provide and implement an infection prevention and control program.KComplaint
Jul 11, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jul 11, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jul 11, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 11, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Oct 18, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Oct 2, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 8, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Aug 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 12, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jun 17, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Feb 27, 2024F732Post nurse staffing information every day.CComplaint
Nov 16, 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
Nov 16, 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
Nov 16, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Nov 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 16, 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
Nov 16, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 10, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Apr 10, 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
Dec 2, 2022F880Provide and implement an infection prevention and control program.FStandard
Dec 2, 2022F850Hire a qualified full-time social worker in a facility with more than 120 beds.CStandard
Dec 2, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 2, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Dec 2, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 2, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 2, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 2, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 2, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 2, 2022F688Provide 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
Dec 2, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 2, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 2, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 2, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 2, 2022F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 2, 2022F641Ensure each resident receives an accurate assessment.EStandard
Dec 2, 2022F637Assess the resident when there is a significant change in conditionDStandard
Dec 2, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Dec 2, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Dec 2, 2022F584Honor 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.EStandard
Dec 2, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
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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