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Facility profile · CCN 225697

Hadley Pointe Nursing Rehab & Care

48 federal citations on record , and 2 federal enforcement actions totaling $85,596.

Record summary

Federal record · Q1 2026
48
Total citations
38
Last 3 years
4
Actual harm+
2
Federal penalties
$85,596
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

48 on record
SurveyF-TagViolationSeveritySource
Jan 20, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Jan 20, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Nov 14, 2025F584Honor 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
Sep 16, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Sep 16, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 16, 2025F610Respond appropriately to all alleged violations.DComplaint
Sep 16, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 16, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Sep 16, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jun 11, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Jan 22, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 22, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Jan 22, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 17, 2025F909Regularly 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.DStandard
Jan 17, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 17, 2025F880Provide and implement an infection prevention and control program.EStandard
Jan 17, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jan 17, 2025F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FStandard
Jan 17, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard
Jan 17, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 17, 2025F692Provide enough food/fluids to maintain a resident's health.GStandard
Jan 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jan 17, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jan 17, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 17, 2025F637Assess the resident when there is a significant change in conditionDStandard
Jan 17, 2025F585Honor 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.EStandard
Jan 17, 2025F584Honor 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
Jan 17, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard
Jan 17, 2025F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Jan 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Aug 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 2, 2023F880Provide and implement an infection prevention and control program.FStandard
Nov 2, 2023F849Arrange 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
Nov 2, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 2, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Nov 2, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Nov 2, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 5, 2022F880Provide and implement an infection prevention and control program.DStandard
Apr 5, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 5, 2022F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Apr 5, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 5, 2022F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Apr 5, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 5, 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
Apr 5, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 5, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 5, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $85,596 .

DateTypeFinePayment denial
Jan 17, 2025Fine$76,278
Aug 22, 2024Fine$9,318
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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