Facility profile · CCN 395446
Ivory Wellness Center
68 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $25,324.
Record summary
Federal record · Q1 202668
Total citations
68
Last 3 years
5
Actual harm+
1
Federal penalties
$25,324
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
68 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 11, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Dec 3, 2025 | F908 | Keep all essential equipment working safely. | D | Standard |
| Dec 3, 2025 | F887 | Educate 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 | Standard |
| Dec 3, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Dec 3, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Dec 3, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 3, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Dec 3, 2025 | 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 |
| Dec 3, 2025 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Dec 3, 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 | Standard |
| Dec 3, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Dec 3, 2025 | 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 |
| Oct 31, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Oct 31, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 31, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| Oct 31, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 31, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Oct 31, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Oct 31, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Oct 31, 2024 | 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 |
| Oct 31, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Oct 31, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Oct 31, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 31, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Oct 31, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 31, 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 |
| Oct 31, 2024 | 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 | Standard |
| Oct 31, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Oct 31, 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 |
| Oct 31, 2024 | 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 |
| Sep 10, 2024 | F908 | Keep all essential equipment working safely. | F | Complaint |
| Sep 10, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Sep 10, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint |
| Sep 10, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Complaint |
| Jul 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 30, 2024 | 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 |
| Jul 30, 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 | Complaint |
| Jul 30, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 30, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jul 30, 2024 | F585 | Honor 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. | D | Complaint |
| May 16, 2024 | F741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint |
| May 16, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint |
| Jan 22, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jan 22, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Jan 22, 2024 | F908 | Keep all essential equipment working safely. | G | Standard |
| Jan 22, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 22, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard |
| Jan 22, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 22, 2024 | 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 |
| Jan 22, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 22, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Jan 22, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 22, 2024 | F693 | Ensure 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. | D | Standard |
| Jan 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Jan 22, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 22, 2024 | 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 |
| Jan 22, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Standard |
| Jan 22, 2024 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Jan 22, 2024 | 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 | Standard |
| Jan 22, 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 |
| Jan 22, 2024 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard |
| Jan 22, 2024 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard |
| Jan 22, 2024 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard |
| Nov 8, 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 |
| Oct 30, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Oct 30, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint |
| Jul 19, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Jun 21, 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 |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $25,324 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 22, 2024 | Fine | $25,324 | — |
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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