Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055182

Lemon Grove Care And Rehabilitation Center

71 federal citations on record , and 1 federal enforcement actions totaling $7,443.

Record summary

Federal record · Q1 2026
71
Total citations
58
Last 3 years
1
Actual harm+
1
Federal penalties
$7,443
Total fines
3
Overall ★ rating

Most common violation categories here

Care Planning18 Quality of Care14 Resident Rights10 Medication & Pharmacy8 Infection Control6

Most common F-tags at this facility

F6565 F6574 F8424 F6413 F6893

Citation history

71 on record
SurveyF-TagViolationSeveritySource
Dec 18, 2025F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard
Dec 18, 2025F908Keep all essential equipment working safely.EStandard
Dec 18, 2025F887Educate 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.DStandard
Dec 18, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 18, 2025F881Implement a program that monitors antibiotic use.EStandard
Dec 18, 2025F880Provide and implement an infection prevention and control program.FStandard
Dec 18, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Dec 18, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard
Dec 18, 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.DStandard
Dec 18, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Dec 18, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Dec 18, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 18, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 18, 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.DStandard
Dec 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 18, 2025F679Provide activities to meet all resident's needs.DStandard
Dec 18, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 18, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 18, 2025F641Ensure each resident receives an accurate assessment.DStandard
Dec 18, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Dec 18, 2025F610Respond appropriately to all alleged violations.DStandard
Dec 18, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 18, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 27, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Dec 12, 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
Dec 12, 2024F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.DComplaint
Oct 17, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 5, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 15, 2024F880Provide and implement an infection prevention and control program.DStandard
Aug 15, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 15, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Aug 15, 2024F761Ensure 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
Aug 15, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 15, 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.DStandard
Aug 15, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Aug 15, 2024F679Provide activities to meet all resident's needs.DStandard
Aug 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 15, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Aug 15, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 8, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 8, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Aug 17, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 12, 2023F881Implement a program that monitors antibiotic use.DComplaint
Jul 12, 2023F850Hire a qualified full-time social worker in a facility with more than 120 beds.DComplaint
Jul 12, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DComplaint
Jul 12, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Jul 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 31, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 31, 2023F758Implement 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.DComplaint
May 31, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 27, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 27, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Apr 27, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Mar 10, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EComplaint
Mar 10, 2023F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EComplaint
Mar 10, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 10, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 17, 2022F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.DStandard
Mar 17, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Mar 17, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 17, 2022F693Ensure 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.DStandard
Mar 17, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Mar 17, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 17, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 17, 2022F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
Mar 17, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $7,443 .

DateTypeFinePayment denial
Jul 12, 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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