Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Facility profile · CCN 225355

Keystone Center

45 federal citations on record , and 2 federal enforcement actions totaling $33,476.

Record summary

Federal record · Q1 2026
45
Total citations
45
Last 3 years
3
Actual harm+
2
Federal penalties
$33,476
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Nov 19, 2025F761Ensure 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.EStandard
Nov 19, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Nov 19, 2025F688Provide 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
Nov 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 19, 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.DStandard
Jul 29, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Jul 29, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 12, 2024F880Provide and implement an infection prevention and control program.DStandard
Sep 12, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 12, 2024F758Implement 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.DStandard
Sep 12, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 12, 2024F742Provide 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
Sep 12, 2024F727Have 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.EStandard
Sep 12, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Sep 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Sep 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 12, 2024F679Provide activities to meet all resident's needs.DStandard
Sep 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 12, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Sep 12, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Aug 29, 2024F700Try 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.DComplaint
Aug 29, 2024F610Respond appropriately to all alleged violations.DComplaint
Aug 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 29, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Aug 29, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jul 2, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jul 2, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Feb 14, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 27, 2023F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.FStandard
Jun 27, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Jun 27, 2023F760Ensure that residents are free from significant medication errors.DStandard
Jun 27, 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
Jun 27, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 27, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 27, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 27, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 27, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Jun 27, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jun 27, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Jun 27, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 23, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 23, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $33,476 .

DateTypeFinePayment denial
Jul 2, 2024Fine$26,033
May 23, 2023Fine$7,443
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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