Facility profile · CCN 375485
Hennessey Nursing & Rehab
28 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $33,924.
Record summary
Federal record · Q1 202628
Total citations
26
Last 3 years
2
Actual harm+
1
Federal penalties
$33,924
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
28 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 7, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Aug 7, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 7, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Aug 7, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Aug 7, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard |
| Aug 7, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 7, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard |
| Aug 7, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Aug 7, 2024 | 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 |
| Aug 7, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 7, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Aug 7, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Aug 7, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Apr 15, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Apr 15, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint |
| Apr 15, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Apr 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Jul 6, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 6, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Jul 6, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Jul 6, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Jul 6, 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 |
| Jul 6, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jul 6, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Jul 6, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| May 8, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Dec 7, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Dec 7, 2021 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $33,924 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 15, 2024 | Fine | $33,924 | — |
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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