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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395485

Graduate Post Acute

81 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $17,940.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
81
Total citations
81
Last 3 years
2
Actual harm+
2
Federal penalties
$17,940
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care24 Resident Rights12 Care Planning11 Nutrition & Dietary7 Environment & Safety6

Most common F-tags at this facility

F9255 F6894 F6844 F6954 F8353

Citation history

81 on record
SurveyF-TagViolationSeveritySource
Dec 3, 2025F730Observe each nurse aide's job performance and give regular training.EComplaint
Dec 3, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Dec 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 3, 2025F814Dispose of garbage and refuse properly.DStandard
Dec 3, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 3, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 3, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Dec 3, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 3, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Dec 3, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 3, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Dec 3, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Apr 25, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Apr 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 7, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Apr 1, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Apr 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 26, 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
Feb 26, 2025F572Give residents a notice of rights, rules, services and charges.DComplaint
Jan 31, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Jan 31, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jan 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 22, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Nov 22, 2024F880Provide and implement an infection prevention and control program.DStandard
Nov 22, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Nov 22, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Nov 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 22, 2024F680Ensure the activities program is directed by a qualified professional.EStandard
Nov 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 22, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Nov 22, 2024F637Assess the resident when there is a significant change in conditionDStandard
Nov 22, 2024F610Respond appropriately to all alleged violations.DStandard
Nov 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Nov 22, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Sep 18, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Sep 18, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Sep 18, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BComplaint
Sep 18, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Aug 23, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Aug 23, 2024F610Respond appropriately to all alleged violations.EComplaint
Aug 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Aug 23, 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.EComplaint
Jul 8, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Jun 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 29, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Feb 28, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint
Feb 28, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Feb 28, 2024F880Provide and implement an infection prevention and control program.FComplaint
Feb 28, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EComplaint
Feb 28, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Feb 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Feb 28, 2024F730Observe each nurse aide's job performance and give regular training.DComplaint
Feb 28, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Feb 28, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Feb 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 28, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 28, 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.DComplaint
Feb 28, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Feb 28, 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
Feb 28, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Feb 28, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 30, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Jan 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 19, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Dec 19, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Dec 19, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Nov 28, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 8, 2023F908Keep all essential equipment working safely.DComplaint
Sep 8, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Sep 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 8, 2023F585Honor 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.DComplaint
Aug 28, 2023F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint
Jul 24, 2023F660Plan the resident's discharge to meet the resident's goals and needs.EComplaint
Jul 24, 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.EComplaint
Jul 24, 2023F583Keep residents' personal and medical records private and confidential.EComplaint
Jul 24, 2023F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Jun 21, 2023F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $17,940 .

DateTypeFinePayment denial
Feb 26, 2025Fine$9,113—
Nov 22, 2024Fine$8,827—
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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