Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 125067

Islands Skilled Nursing & Rehabilitation

64 federal citations on record , and 1 federal enforcement actions totaling $89,206.

Special Focus Status

Record summary

Federal record · Q1 2026
64
Total citations
64
Last 3 years
1
Actual harm+
1
Federal penalties
$89,206
Total fines
2
Overall ★ rating

Most common violation categories here

Resident Rights15 Care Planning13 Quality of Care10 Medication & Pharmacy9 Infection Control5

Most common F-tags at this facility

F5503 F6563 F6843 F7563 F7613

Citation history

64 on record
SurveyF-TagViolationSeveritySource
Apr 30, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Apr 30, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 30, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Apr 30, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 30, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Apr 30, 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.DStandard
Apr 30, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 30, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 30, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 30, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 30, 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.DStandard
Apr 30, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jul 18, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.GComplaint
Jul 18, 2024F713Provide or arrange emergency care by a doctor 24 hours a day.DComplaint
Jul 18, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jul 18, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Jul 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Jul 18, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
May 16, 2024F610Respond appropriately to all alleged violations.DComplaint
May 16, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 16, 2024F880Provide and implement an infection prevention and control program.EStandard
May 16, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 16, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
May 16, 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.DStandard
May 16, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
May 16, 2024F758Implement 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.EStandard
May 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
May 16, 2024F732Post nurse staffing information every day.FStandard
May 16, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
May 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 16, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 16, 2024F641Ensure each resident receives an accurate assessment.DStandard
May 16, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
May 16, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 16, 2024F551Give the resident's representative the ability to exercise the resident's rights.DStandard
May 16, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Sep 6, 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.D—
Sep 6, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D—
May 25, 2023F880Provide and implement an infection prevention and control program.EStandard
May 25, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 25, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 25, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
May 25, 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.EStandard
May 25, 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
May 25, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
May 25, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
May 25, 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
May 25, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
May 25, 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
May 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 25, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
May 25, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 25, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 25, 2023F625Notify 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.EStandard
May 25, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
May 25, 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
May 25, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard
May 25, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
May 25, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $89,206 .

DateTypeFinePayment denial
May 16, 2024Fine$89,206—
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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