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 202649
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Mar 28, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint |
| Mar 28, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Mar 28, 2025 | F758 | Implement 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. | D | Complaint |
| Mar 28, 2025 | 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 |
| Mar 28, 2025 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint |
| Mar 28, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Mar 28, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Mar 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Mar 28, 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 |
| Mar 28, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint |
| Mar 28, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint |
| Mar 28, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint |
| Mar 28, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Mar 28, 2025 | 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 |
| Mar 28, 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 | Complaint |
| Mar 28, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Mar 28, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Jun 13, 2024 | F791 | Provide or obtain dental services for each resident. | D | Complaint |
| Jun 13, 2024 | F908 | Keep all essential equipment working safely. | D | Standard |
| Jun 13, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 13, 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 |
| Jun 13, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Jun 13, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 13, 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 | Standard |
| Jun 13, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jun 13, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 13, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Jun 13, 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 |
| Nov 1, 2023 | 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 | Complaint |
| Nov 1, 2023 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Complaint |
| Nov 1, 2023 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint |
| Aug 17, 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 17, 2023 | 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. | E | Complaint |
| Aug 17, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard |
| Aug 17, 2023 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Aug 17, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 17, 2023 | F742 | Provide 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. | D | Standard |
| Aug 17, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Aug 17, 2023 | 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 17, 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 | Standard |
| Aug 17, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Aug 17, 2023 | 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 | Standard |
| Aug 17, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jul 27, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jul 27, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Complaint |
| Apr 25, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Apr 25, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint |
| Mar 1, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Mar 1, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $11,450 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 25, 2023 | Fine | $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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