Independent · Federal inspection records, searchable
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Facility profile · CCN 395525

Ivy Hill Post Acute Nursing & Rehabilitation Llc

49 federal citations on record , and 1 federal enforcement actions totaling $11,450.

Record summary

Federal record · Q1 2026
49
Total citations
47
Last 3 years
1
Actual harm+
1
Federal penalties
$11,450
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

49 on record
SurveyF-TagViolationSeveritySource
Mar 28, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint
Mar 28, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Mar 28, 2025F758Implement 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.DComplaint
Mar 28, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Mar 28, 2025F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Mar 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Mar 28, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Mar 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 28, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EComplaint
Mar 28, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Mar 28, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Mar 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Mar 28, 2025F585Honor 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
Mar 28, 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.EComplaint
Mar 28, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Mar 28, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 13, 2024F791Provide or obtain dental services for each resident.DComplaint
Jun 13, 2024F908Keep all essential equipment working safely.DStandard
Jun 13, 2024F880Provide and implement an infection prevention and control program.DStandard
Jun 13, 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
Jun 13, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Jun 13, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 13, 2024F688Provide 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
Jun 13, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Jun 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 13, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jun 13, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 1, 2023F622Not 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
Nov 1, 2023F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint
Nov 1, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Aug 17, 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.DComplaint
Aug 17, 2023F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EComplaint
Aug 17, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Aug 17, 2023F814Dispose of garbage and refuse properly.DStandard
Aug 17, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 17, 2023F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard
Aug 17, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Aug 17, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 17, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 17, 2023F585Honor 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.DStandard
Aug 17, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jul 27, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 27, 2023F637Assess the resident when there is a significant change in conditionDComplaint
Apr 25, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Apr 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.GComplaint
Mar 1, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Mar 1, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $11,450 .

DateTypeFinePayment denial
Apr 25, 2023Fine$11,450
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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