Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215168

Layhill Nursing And Rehabilitation Center

104 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $153,596.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
104
Total citations
81
Last 3 years
3
Actual harm+
3
Federal penalties
$153,596
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Resident Rights22 Care Planning19 Abuse & Neglect8 Medication & Pharmacy8

Most common F-tags at this facility

F6584 F6864 F6894 F6564 F6093

Citation history

104 on record
SurveyF-TagViolationSeveritySource
Oct 9, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Oct 9, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint
Oct 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 9, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Oct 9, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 9, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Oct 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 9, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Oct 9, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Sep 23, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Sep 23, 2024F693Ensure 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
Sep 23, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Sep 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FComplaint
Sep 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Sep 23, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Sep 23, 2024F610Respond appropriately to all alleged violations.DComplaint
Sep 23, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 23, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard
Sep 23, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Sep 23, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Sep 23, 2024F909Regularly 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.EStandard
Sep 23, 2024F908Keep all essential equipment working safely.DStandard
Sep 23, 2024F880Provide and implement an infection prevention and control program.DStandard
Sep 23, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Sep 23, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Sep 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Sep 23, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard
Sep 23, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
Sep 23, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Sep 23, 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 23, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Sep 23, 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 23, 2024F732Post nurse staffing information every day.FStandard
Sep 23, 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.EStandard
Sep 23, 2024F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Sep 23, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Sep 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 23, 2024F688Provide 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
Sep 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 23, 2024F679Provide activities to meet all resident's needs.EStandard
Sep 23, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.KStandard
Sep 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 23, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 23, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Sep 23, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Sep 23, 2024F641Ensure each resident receives an accurate assessment.DStandard
Sep 23, 2024F625Notify 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.DStandard
Sep 23, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Sep 23, 2024F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Sep 23, 2024F584Honor 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.EStandard
Sep 23, 2024F578Honor 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.DStandard
Sep 23, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Sep 23, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Sep 23, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jun 18, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.DComplaint
Jun 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 18, 2024F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Jun 18, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Jun 18, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Jun 18, 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.DComplaint
Jun 18, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Jun 18, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jun 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 18, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jun 18, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Jun 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 18, 2024F641Ensure each resident receives an accurate assessment.EComplaint
Jun 18, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Jun 18, 2024F610Respond appropriately to all alleged violations.EComplaint
Jun 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jun 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jun 18, 2024F583Keep residents' personal and medical records private and confidential.GComplaint
Jun 18, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 18, 2024F578Honor 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.DComplaint
Jun 18, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jun 18, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Jun 18, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 27, 2019F880Provide and implement an infection prevention and control program.FStandard
Sep 27, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Sep 27, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 27, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Sep 27, 2019F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Sep 27, 2019F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DStandard
Sep 27, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 16, 2018F880Provide and implement an infection prevention and control program.EStandard
Oct 16, 2018F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.CStandard
Oct 16, 2018F758Implement 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
Oct 16, 2018F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 16, 2018F732Post nurse staffing information every day.BStandard
Oct 16, 2018F730Observe each nurse aide's job performance and give regular training.BStandard
Oct 16, 2018F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Oct 16, 2018F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Oct 16, 2018F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Oct 16, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Oct 16, 2018F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 16, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $153,596 and 1 payment-denial actions spanning 20 days.

DateTypeFinePayment denial
Sep 23, 2024Fine$100,523—
Sep 23, 2024Payment Denial—Jan 1, 2025 · 20 days
Jun 18, 2024Fine$53,073—
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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