Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395338

Immaculatemarycenter For Rehabilitation&healthcare

47 federal citations on record , including 1 at the Immediate Jeopardy level.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
47
Total citations
47
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care12 Resident Rights9 Care Planning6 Abuse & Neglect5 Infection Control4

Most common F-tags at this facility

F8423 F8803 F6092 F5842 F6562

Citation history

47 on record
SurveyF-TagViolationSeveritySource
Oct 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 3, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Oct 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 15, 2025F880Provide and implement an infection prevention and control program.DComplaint
Sep 15, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Sep 15, 2025F685Assist a resident in gaining access to vision and hearing services.DComplaint
Sep 15, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 8, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 17, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 17, 2025F814Dispose of garbage and refuse properly.EStandard
Apr 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 17, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Apr 17, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 17, 2025F690Provide 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 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 17, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Apr 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.EStandard
Apr 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 3, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint
Jun 17, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Jun 17, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jun 17, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 17, 2024F760Ensure that residents are free from significant medication errors.DStandard
Jun 17, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Jun 17, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 17, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 17, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 17, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard
Jun 17, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
May 16, 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.DComplaint
Apr 18, 2024F610Respond appropriately to all alleged violations.DComplaint
Apr 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 18, 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
Aug 28, 2023F880Provide and implement an infection prevention and control program.DStandard
Aug 28, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 28, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 28, 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
Aug 28, 2023F758Implement 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.DStandard
Aug 28, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 28, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 28, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 28, 2023F610Respond appropriately to all alleged violations.DStandard
Aug 28, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Aug 28, 2023F583Keep residents' personal and medical records private and confidential.DStandard
Jul 12, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
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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