Facility profile · CCN 245524
Little Sisters Of The Poor
29 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $17,584.
Record summary
Federal record · Q1 202629
Total citations
29
Last 3 years
1
Actual harm+
3
Federal penalties
$17,584
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
29 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 28, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 28, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 28, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Dec 11, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 11, 2024 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Dec 11, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 11, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Dec 11, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Dec 11, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 3, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint |
| Oct 3, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint |
| Oct 3, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint |
| Oct 3, 2024 | F843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | C | Complaint |
| Oct 3, 2024 | F838 | Conduct 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. | F | Complaint |
| Oct 3, 2024 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Complaint |
| Oct 3, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | C | Complaint |
| Oct 3, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 7, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 1, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Feb 1, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 1, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Standard |
| Feb 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 1, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint |
| Oct 4, 2023 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Complaint |
| Oct 4, 2023 | F680 | Ensure the activities program is directed by a qualified professional. | E | Complaint |
| Oct 4, 2023 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Oct 4, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Oct 4, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $17,584 and 1 payment-denial actions spanning 9 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 3, 2024 | Fine | $12,340 | — |
| Oct 3, 2024 | Payment Denial | — | Oct 30, 2024 · 9 days |
| Nov 6, 2023 | Fine | $5,244 | — |
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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