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Facility profile · CCN 295085

Highland Manor Of Fallon Rehabilitation Llc

85 federal citations on record , and 4 federal enforcement actions totaling $124,459.

Abuse Icon Special Focus Status

Record summary

Federal record · Q1 2026
85
Total citations
85
Last 3 years
2
Actual harm+
4
Federal penalties
$124,459
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

85 on record
SurveyF-TagViolationSeveritySource
Sep 4, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint
Sep 4, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Sep 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 4, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Sep 4, 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
Sep 4, 2025F880Provide and implement an infection prevention and control program.DStandard
Sep 4, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Sep 4, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Sep 4, 2025F761Ensure 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.EStandard
Sep 4, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Sep 4, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Sep 4, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 4, 2025F688Provide 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.DStandard
Sep 4, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 4, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 4, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 4, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Sep 4, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Sep 4, 2025F641Ensure each resident receives an accurate assessment.FStandard
Sep 4, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Sep 4, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Sep 4, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jan 22, 2025F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.EComplaint
Nov 12, 2024F760Ensure that residents are free from significant medication errors.GComplaint
Nov 12, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Aug 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2024F880Provide and implement an infection prevention and control program.FStandard
Aug 22, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Aug 22, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Aug 22, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 22, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Aug 22, 2024F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Aug 22, 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.EStandard
Aug 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Aug 22, 2024F730Observe each nurse aide's job performance and give regular training.DStandard
Aug 22, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard
Aug 22, 2024F700Try 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.DStandard
Aug 22, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Aug 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 22, 2024F680Ensure the activities program is directed by a qualified professional.DStandard
Aug 22, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 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
Aug 22, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 22, 2024F641Ensure each resident receives an accurate assessment.DStandard
Aug 22, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Aug 22, 2024F610Respond appropriately to all alleged violations.DComplaint
Aug 22, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Apr 30, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DComplaint
Apr 30, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 30, 2024F610Respond appropriately to all alleged violations.DComplaint
Apr 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 11, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.EComplaint
Sep 11, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 11, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Sep 11, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 8, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Jun 8, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jun 8, 2023F880Provide and implement an infection prevention and control program.DStandard
Jun 8, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Jun 8, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jun 8, 2023F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Jun 8, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jun 8, 2023F761Ensure 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
Jun 8, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 8, 2023F700Try 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.DStandard
Jun 8, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 8, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jun 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FStandard
Jun 8, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 8, 2023F641Ensure each resident receives an accurate assessment.DStandard
Jun 8, 2023F584Honor 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
Jun 8, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jun 8, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jun 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 8, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Jun 8, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Jun 8, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 24, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $124,459 and 1 payment-denial actions spanning 34 days.

DateTypeFinePayment denial
Sep 4, 2025Fine$71,656
Nov 12, 2024Fine$18,564
Jun 8, 2023Fine$34,239
Jun 8, 2023Payment DenialAug 5, 2023 · 34 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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