Facility profile · CCN 215351
Lorien Mays Chapel
51 federal citations on record .
Record summary
Federal record · Q1 202651
Total citations
20
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
51 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 7, 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 | Complaint |
| Jan 21, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jan 21, 2025 | 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 |
| Jan 21, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 21, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint |
| Jan 21, 2025 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint |
| Jan 21, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jan 21, 2025 | F887 | Educate 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. | D | Standard |
| Jan 21, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jan 21, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 21, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jan 21, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 21, 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 |
| Jan 21, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jan 21, 2025 | 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 | Standard |
| Jan 21, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jan 21, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 21, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jan 21, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Jan 21, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Feb 24, 2020 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 24, 2020 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 24, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 24, 2020 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Feb 24, 2020 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Feb 24, 2020 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 24, 2020 | 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 | Standard |
| Feb 24, 2020 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Feb 24, 2020 | F732 | Post nurse staffing information every day. | E | Standard |
| Feb 24, 2020 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Feb 24, 2020 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Feb 24, 2020 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Feb 24, 2020 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 24, 2020 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 24, 2020 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 24, 2020 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Feb 24, 2020 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Feb 24, 2020 | 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 |
| Feb 24, 2020 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Feb 24, 2020 | F584 | Honor 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. | D | Standard |
| Feb 24, 2020 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Feb 24, 2020 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard |
| Aug 23, 2018 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 23, 2018 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Aug 23, 2018 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Aug 23, 2018 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Aug 23, 2018 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Aug 23, 2018 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 23, 2018 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Aug 23, 2018 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Aug 23, 2018 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
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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