Facility profile · CCN 17E531
Kearny County Hospital Ltcu
43 federal citations on record , including 1 at the Immediate Jeopardy level, and 8 federal enforcement actions totaling $69,565.
Record summary
Federal record · Q1 202643
Total citations
33
Last 3 years
2
Actual harm+
8
Federal penalties
$69,565
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
43 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 24, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| Oct 24, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Oct 24, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Oct 24, 2024 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Oct 24, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Oct 24, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Oct 24, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Oct 24, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Oct 24, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Oct 24, 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 24, 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 24, 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. | E | Standard |
| Oct 24, 2024 | 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 |
| Oct 24, 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. | D | Standard |
| Oct 24, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Oct 24, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Oct 24, 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 | Standard |
| Oct 24, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Oct 24, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Oct 24, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 24, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Oct 24, 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. | E | Standard |
| Oct 24, 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 24, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Oct 24, 2024 | F641 | Ensure each resident receives an accurate assessment. | F | Standard |
| Oct 24, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| Oct 24, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Oct 24, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | F | Standard |
| Oct 24, 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. | E | Standard |
| Oct 24, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Oct 24, 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 |
| Oct 24, 2024 | 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. | E | Standard |
| Oct 24, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 7, 2022 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Dec 7, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Dec 7, 2022 | 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 |
| Dec 7, 2022 | 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 |
| Dec 7, 2022 | 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 | Standard |
| Dec 7, 2022 | 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 |
| Dec 7, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| May 27, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 27, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard |
| May 27, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
Federal enforcement history
Federal regulators have imposed 8 enforcement actions against this facility, including 8 civil money penalties totaling $69,565 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 20, 2024 | Fine | $4,893 | — |
| Feb 12, 2024 | Fine | $4,893 | — |
| Jan 22, 2024 | Fine | $14,679 | — |
| Jan 8, 2024 | Fine | $4,893 | — |
| Jan 2, 2024 | Fine | $4,545 | — |
| Dec 11, 2023 | Fine | $13,635 | — |
| Nov 6, 2023 | Fine | $12,587 | — |
| Sep 18, 2023 | Fine | $9,440 | — |
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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