Facility profile · CCN 365455
Ivy Woods Healthcare Center.
38 federal citations on record , and 2 federal enforcement actions totaling $14,528.
Record summary
Federal record · Q1 202638
Total citations
20
Last 3 years
1
Actual harm+
2
Federal penalties
$14,528
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
38 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 25, 2024 | 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. | D | Complaint |
| Nov 16, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Nov 16, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 5, 2023 | F908 | Keep all essential equipment working safely. | E | Standard |
| Oct 5, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Oct 5, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 5, 2023 | 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 5, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Oct 5, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Oct 5, 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 | Standard |
| Oct 5, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Oct 5, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 5, 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 | Standard |
| Oct 5, 2023 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Oct 5, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Oct 5, 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 | Standard |
| Oct 5, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Oct 5, 2023 | 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. | D | Standard |
| Oct 5, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Oct 5, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Feb 20, 2020 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 20, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 20, 2020 | 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 | Standard |
| Feb 20, 2020 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Feb 20, 2020 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Feb 20, 2020 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Feb 20, 2020 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Feb 20, 2020 | 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 | Standard |
| Feb 20, 2020 | 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. | D | Standard |
| Feb 20, 2020 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jan 10, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 10, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 10, 2019 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jan 10, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 10, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 10, 2019 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Jan 10, 2019 | 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 10, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $14,528 and 1 payment-denial actions spanning 35 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 5, 2023 | Fine | $14,528 | — |
| Oct 5, 2023 | Payment Denial | — | Nov 1, 2023 · 35 days |
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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