Independent · Federal inspection records, searchable
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Facility profile · CCN 215073

Lions Rehab Center

94 federal citations on record , and 2 federal enforcement actions totaling $98,631.

Record summary

Federal record · Q1 2026
94
Total citations
40
Last 3 years
1
Actual harm+
2
Federal penalties
$98,631
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

94 on record
SurveyF-TagViolationSeveritySource
Oct 29, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Oct 29, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 29, 2025F880Provide and implement an infection prevention and control program.DComplaint
May 29, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
May 29, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
May 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
May 29, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 29, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 29, 2025F610Respond appropriately to all alleged violations.DComplaint
May 29, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 17, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Jan 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jan 17, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Jan 17, 2025F641Ensure each resident receives an accurate assessment.EComplaint
Jan 17, 2025F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint
Jan 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 17, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jan 17, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 17, 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
Jan 17, 2025F880Provide and implement an infection prevention and control program.DStandard
Jan 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 17, 2025F836Ensure 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.DStandard
Jan 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 17, 2025F801Employ 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
Jan 17, 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
Jan 17, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jan 17, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 17, 2025F727Have 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.DStandard
Jan 17, 2025F726Ensure 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
Jan 17, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Jan 17, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Jan 17, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 17, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jan 17, 2025F578Honor 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
Jan 17, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Jan 17, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Mar 22, 2023F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint
Mar 22, 2023F888Ensure staff are vaccinated for COVID-19DComplaint
Mar 22, 2023F887Educate 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.DComplaint
Mar 22, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Mar 22, 2023F880Provide and implement an infection prevention and control program.DComplaint
Mar 22, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Mar 22, 2023F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DComplaint
Mar 22, 2023F730Observe each nurse aide's job performance and give regular training.DComplaint
Mar 22, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 22, 2023F700Try 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
Mar 22, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 22, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Mar 22, 2023F679Provide activities to meet all resident's needs.EComplaint
Mar 22, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Mar 22, 2023F642Ensure a qualified health professional conducts resident assessments.DComplaint
Mar 22, 2023F641Ensure each resident receives an accurate assessment.EComplaint
Mar 22, 2023F625Notify 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.EComplaint
Mar 22, 2023F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Mar 22, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Mar 22, 2023F622Not 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
Mar 22, 2023F610Respond appropriately to all alleged violations.DComplaint
Mar 22, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 22, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Mar 22, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 22, 2023F578Honor 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.EComplaint
Mar 22, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Mar 22, 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.CStandard
Mar 22, 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.DStandard
Mar 22, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Mar 22, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 22, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 22, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Nov 29, 2018F880Provide and implement an infection prevention and control program.CStandard
Nov 29, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Nov 29, 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
Nov 29, 2018F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 29, 2018F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Nov 29, 2018F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EStandard
Nov 29, 2018F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 29, 2018F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Nov 29, 2018F688Provide 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 29, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 29, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FStandard
Nov 29, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FStandard
Nov 29, 2018F642Ensure a qualified health professional conducts resident assessments.DStandard
Nov 29, 2018F641Ensure each resident receives an accurate assessment.DStandard
Nov 29, 2018F624Prepare residents for a safe transfer or discharge from the nursing home.EStandard
Nov 29, 2018F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Nov 29, 2018F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Nov 29, 2018F584Honor 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
Nov 29, 2018F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Nov 29, 2018F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.BStandard
Nov 29, 2018F558Reasonably accommodate the needs and preferences of each resident.DStandard
Nov 29, 2018F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $98,631 and 1 payment-denial actions spanning 31 days.

DateTypeFinePayment denial
Mar 22, 2023Fine$98,631
Mar 22, 2023Payment DenialMay 22, 2023 · 31 days
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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