Facility profile · CCN 676192
Garnet Hill Rehabilitation And Skilled Care
43 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $40,290.
Record summary
Federal record · Q1 202643
Total citations
34
Last 3 years
3
Actual harm+
3
Federal penalties
$40,290
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
43 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 16, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 16, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jul 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 16, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Mar 19, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Mar 19, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Mar 19, 2025 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint |
| Jan 24, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Jan 24, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jan 24, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Jan 24, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Jan 24, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E | Complaint |
| Dec 6, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 6, 2024 | 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 | Complaint |
| Dec 6, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Dec 6, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Dec 8, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Dec 8, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 8, 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 | Complaint |
| Dec 8, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 8, 2023 | F584 | Honor 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. | E | Complaint |
| Dec 8, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 8, 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 |
| Dec 8, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Dec 8, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Dec 8, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Dec 8, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Dec 8, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 8, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Dec 8, 2023 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Dec 8, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Dec 8, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jul 24, 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 | Complaint |
| Jun 12, 2023 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Oct 6, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 6, 2022 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard |
| Oct 6, 2022 | 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 |
| Oct 6, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Oct 6, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 6, 2022 | 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 |
| Oct 6, 2022 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard |
| Oct 6, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Oct 6, 2022 | F584 | Honor 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. | E | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $40,290 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 6, 2024 | Fine | $18,179 | — |
| Dec 8, 2023 | Fine | $13,780 | — |
| Jun 12, 2023 | Fine | $8,331 | — |
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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