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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.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
76
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
SurveyF-TagViolationSeveritySource
May 21, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint
May 21, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint
May 21, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DComplaint
May 21, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FComplaint
May 21, 2025F880Provide and implement an infection prevention and control program.EComplaint
May 21, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 21, 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.DComplaint
May 21, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
May 21, 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.DComplaint
May 21, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
May 21, 2025F730Observe each nurse aide's job performance and give regular training.EComplaint
May 21, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
May 21, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 21, 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 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LComplaint
May 21, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 21, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 21, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 21, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 21, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
May 21, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
May 21, 2025F610Respond appropriately to all alleged violations.DComplaint
May 21, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 21, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
May 21, 2025F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.EComplaint
May 21, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 21, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
May 21, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Dec 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 1, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Dec 1, 2023F880Provide and implement an infection prevention and control program.FComplaint
Dec 1, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.JComplaint
Dec 1, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Dec 1, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Dec 1, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Dec 1, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 1, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 1, 2023F909Regularly 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.EStandard
Dec 1, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 1, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 1, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 1, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Dec 1, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Dec 1, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 1, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 1, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 1, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Dec 1, 2023F641Ensure each resident receives an accurate assessment.DStandard
Dec 1, 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.DStandard
Dec 1, 2023F584Honor 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
Dec 1, 2023F583Keep residents' personal and medical records private and confidential.DStandard
Dec 1, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Dec 1, 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.DStandard
Dec 1, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Apr 26, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Apr 26, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 26, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 26, 2022F758Implement 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
Apr 26, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 26, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 26, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Apr 26, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 26, 2022F641Ensure each resident receives an accurate assessment.DStandard
Apr 26, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard
Apr 26, 2022F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 26, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 21, 2019F880Provide and implement an infection prevention and control program.EStandard
Mar 21, 2019F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 21, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 21, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 21, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 21, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
Mar 21, 2019F583Keep residents' personal and medical records private and confidential.DStandard
Mar 21, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

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.

DateTypeFinePayment denial
May 21, 2025Fine$27,373
Dec 5, 2024Fine$29,370
Dec 1, 2023Fine$66,846
Dec 1, 2023Payment DenialMar 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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