Facility profile · CCN 365828
Harvard Gardens Rehabilitation & Care Center
54 federal citations on record , and 7 federal enforcement actions totaling $193,748.
Record summary
Federal record · Q1 202654
Total citations
48
Last 3 years
2
Actual harm+
7
Federal penalties
$193,748
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
54 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Apr 10, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 10, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 10, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 10, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Apr 10, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 10, 2025 | 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 |
| Feb 13, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Feb 13, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Feb 13, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Feb 13, 2025 | 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. | F | Standard |
| Feb 13, 2025 | 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 |
| Feb 13, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Feb 13, 2025 | 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 13, 2025 | 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 |
| Feb 13, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jan 8, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Jan 8, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Jan 8, 2025 | 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 |
| Oct 29, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint |
| Feb 22, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Feb 22, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint |
| Feb 22, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Feb 22, 2024 | 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 |
| Jan 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 28, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint |
| Sep 28, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Sep 28, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint |
| Sep 28, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Sep 28, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Sep 28, 2023 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint |
| Sep 28, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Sep 28, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 28, 2023 | F926 | Have policies on smoking. | F | Standard |
| Sep 28, 2023 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Sep 28, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 28, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| Sep 28, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Sep 28, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Sep 28, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Sep 28, 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. | E | Standard |
| Sep 28, 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 |
| Sep 28, 2023 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Sep 28, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Sep 28, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Sep 28, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Sep 28, 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 |
| May 4, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 4, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 4, 2021 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| May 4, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| May 4, 2021 | 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. | F | Standard |
| May 4, 2021 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
Federal enforcement history
Federal regulators have imposed 7 enforcement actions against this facility, including 6 civil money penalties totaling $193,748 and 1 payment-denial actions spanning 42 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 13, 2025 | Fine | $23,319 | — |
| Feb 20, 2024 | Fine | $4,178 | — |
| Feb 12, 2024 | Fine | $3,798 | — |
| Jan 22, 2024 | Fine | $9,116 | — |
| Dec 26, 2023 | Fine | $5,454 | — |
| Sep 28, 2023 | Fine | $147,883 | — |
| Sep 28, 2023 | Payment Denial | — | Oct 25, 2023 · 42 days |
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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