Facility profile · CCN 095031
Inspire Rehabilitation And Health Center Llc
66 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $11,921.
Record summary
Federal record · Q1 202666
Total citations
27
Last 3 years
2
Actual harm+
1
Federal penalties
$11,921
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
66 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 1, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jul 1, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 1, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 4, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Dec 4, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 4, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 4, 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 | Complaint |
| Nov 14, 2023 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint |
| Nov 14, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 14, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint |
| Nov 14, 2023 | 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. | D | Complaint |
| Nov 14, 2023 | 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 | Complaint |
| Nov 14, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Nov 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Nov 14, 2023 | 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 | Complaint |
| Nov 14, 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 | Complaint |
| Nov 14, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Nov 14, 2023 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint |
| Nov 14, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Nov 14, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Nov 14, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Nov 14, 2023 | 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. | D | Complaint |
| Aug 9, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 9, 2023 | 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. | D | Complaint |
| Aug 9, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 9, 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 | Complaint |
| Aug 9, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Aug 5, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Aug 5, 2022 | F908 | Keep all essential equipment working safely. | D | Standard |
| Aug 5, 2022 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Aug 5, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 5, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 5, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Aug 5, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Aug 5, 2022 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Aug 5, 2022 | 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. | D | Standard |
| Aug 5, 2022 | 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 |
| Aug 5, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Aug 5, 2022 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Aug 5, 2022 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Aug 5, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Aug 5, 2022 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Aug 5, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 5, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 5, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Aug 5, 2022 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Aug 5, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 5, 2022 | 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 |
| Aug 5, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Aug 5, 2022 | 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 5, 2022 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard |
| Aug 5, 2022 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard |
| Aug 5, 2022 | 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 5, 2022 | 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 |
| Aug 5, 2022 | F610 | Respond appropriately to all alleged violations. | E | Standard |
| Aug 5, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Aug 5, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Aug 5, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| Dec 9, 2019 | F924 | Put firmly secured handrails on each side of hallways. | D | Standard |
| Dec 9, 2019 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Dec 9, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Dec 9, 2019 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Dec 9, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 9, 2019 | 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 |
| Dec 9, 2019 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Dec 9, 2019 | 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 | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $11,921 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 9, 2023 | Fine | $11,921 | — |
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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