Facility profile · CCN 345213
Lillington Health And Rehabilitation Center
35 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $30,538.
Record summary
Federal record · Q1 202635
Total citations
28
Last 3 years
3
Actual harm+
3
Federal penalties
$30,538
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
35 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 13, 2025 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Aug 13, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Aug 13, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Aug 13, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint |
| May 23, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| May 23, 2025 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Complaint |
| May 23, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint |
| May 23, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| May 23, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| May 23, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 23, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 23, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | Complaint |
| May 23, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| May 23, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| May 23, 2025 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| May 23, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| May 23, 2025 | 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. | D | Standard |
| May 23, 2025 | 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 |
| May 23, 2025 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Aug 27, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint |
| Apr 26, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Apr 26, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Apr 26, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 26, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Apr 26, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 26, 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. | F | Standard |
| Apr 26, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Nov 30, 2023 | 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 | Complaint |
| Apr 11, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Apr 11, 2023 | 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 |
| Apr 11, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 11, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Apr 11, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 11, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Apr 11, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $30,538 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 26, 2024 | Fine | $14,945 | — |
| Apr 11, 2023 | Fine | $7,796 | — |
| Apr 11, 2023 | Fine | $7,797 | — |
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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