Facility profile · CCN 495275
Loudoun Rehabilitation And Nursing Center
76 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $123,589.
Record summary
Federal record · Q1 202676
Total citations
56
Last 3 years
3
Actual harm+
4
Federal penalties
$123,589
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
76 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 21, 2025 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Complaint |
| May 21, 2025 | 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 |
| May 21, 2025 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Complaint |
| May 21, 2025 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Complaint |
| May 21, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| May 21, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| May 21, 2025 | F836 | Ensure 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. | D | Complaint |
| May 21, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint |
| May 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 | Complaint |
| May 21, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| May 21, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | E | Complaint |
| May 21, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| May 21, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| May 21, 2025 | 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 |
| May 21, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint |
| May 21, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| May 21, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 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 |
| May 21, 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 | Complaint |
| May 21, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| May 21, 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 21, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 21, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 21, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| May 21, 2025 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Complaint |
| May 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 |
| May 21, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint |
| May 21, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Dec 5, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Dec 5, 2024 | 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 |
| Dec 1, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint |
| Dec 1, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Dec 1, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Complaint |
| Dec 1, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 1, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint |
| Dec 1, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Dec 1, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 1, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Dec 1, 2023 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard |
| Dec 1, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 1, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Dec 1, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 1, 2023 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Dec 1, 2023 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Dec 1, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Dec 1, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Dec 1, 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 | Standard |
| Dec 1, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Dec 1, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Dec 1, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Dec 1, 2023 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Dec 1, 2023 | 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 |
| Dec 1, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Dec 1, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Dec 1, 2023 | F578 | Honor 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. | D | Standard |
| Dec 1, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Apr 26, 2022 | 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 | Standard |
| Apr 26, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Apr 26, 2022 | 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, 2022 | 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 |
| Apr 26, 2022 | 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 |
| Apr 26, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 26, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Apr 26, 2022 | 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 | Standard |
| Apr 26, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Apr 26, 2022 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard |
| Apr 26, 2022 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Apr 26, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Mar 21, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 21, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 21, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 21, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Mar 21, 2019 | 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 | Standard |
| Mar 21, 2019 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | Standard |
| Mar 21, 2019 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Mar 21, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $123,589 and 1 payment-denial actions spanning 110 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 21, 2025 | Fine | $27,373 | — |
| Dec 5, 2024 | Fine | $29,370 | — |
| Dec 1, 2023 | Fine | $66,846 | — |
| Dec 1, 2023 | Payment Denial | — | Mar 1, 2024 · 110 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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