Facility profile · CCN 365118
Jag Healthcare Mansfield
61 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $130,240.
Record summary
Federal record · Q1 202661
Total citations
43
Last 3 years
1
Actual harm+
2
Federal penalties
$130,240
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
61 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 1, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint |
| Jul 1, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 1, 2025 | 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 |
| Jul 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jul 1, 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. | D | Complaint |
| Jul 1, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jul 1, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jul 1, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 1, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Jul 1, 2025 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Standard |
| Jul 1, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 1, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Jul 1, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 1, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jul 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jul 1, 2025 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Jul 1, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Jul 1, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jul 1, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jul 1, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jul 1, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard |
| Jul 1, 2025 | 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 |
| May 14, 2024 | 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 | Complaint |
| May 14, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint |
| May 14, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Apr 15, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint |
| Apr 15, 2024 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Complaint |
| Apr 15, 2024 | F825 | Provide or get specialized rehabilitative services as required for a resident. | F | Complaint |
| Apr 15, 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. | D | Complaint |
| Apr 15, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Apr 15, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Apr 15, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint |
| Apr 15, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Complaint |
| Apr 15, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint |
| Apr 15, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | Complaint |
| Apr 15, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Complaint |
| Apr 15, 2024 | F574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Complaint |
| Apr 15, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Complaint |
| Apr 15, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Complaint |
| Dec 21, 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. | E | Complaint |
| Jul 3, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| May 10, 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 |
| May 10, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Mar 30, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Aug 18, 2022 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Aug 18, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Aug 18, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Aug 18, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 18, 2022 | 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 18, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 18, 2022 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Aug 28, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 28, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 28, 2019 | F732 | Post nurse staffing information every day. | C | Standard |
| Aug 28, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Aug 28, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 28, 2019 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 28, 2019 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Aug 28, 2019 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Aug 28, 2019 | 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 |
| Aug 28, 2019 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $130,240 and 1 payment-denial actions spanning 60 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 15, 2024 | Fine | $130,240 | — |
| Apr 15, 2024 | Payment Denial | — | Apr 18, 2024 · 60 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.
Concerned about care at Jag Healthcare Mansfield?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys