Facility profile · CCN 325079
Luna Wellness Rehabilitation Llc
50 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $66,876.
Record summary
Federal record · Q1 202650
Total citations
46
Last 3 years
2
Actual harm+
4
Federal penalties
$66,876
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
50 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 3, 2025 | F700 | Try 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. | D | Complaint |
| Sep 3, 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 |
| Sep 3, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Apr 7, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Apr 7, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 7, 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. | E | Standard |
| Apr 7, 2025 | 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 7, 2025 | F732 | Post nurse staffing information every day. | C | Standard |
| Apr 7, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Apr 7, 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 | Standard |
| Apr 7, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Apr 7, 2025 | F625 | Notify 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. | D | Standard |
| Jul 23, 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. | E | Complaint |
| Jul 23, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Jul 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Jul 23, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Mar 7, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint |
| Mar 7, 2024 | 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 |
| Mar 7, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 7, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jan 16, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard |
| Jan 16, 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. | E | Standard |
| Jan 16, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Jan 16, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Jan 16, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 16, 2024 | F791 | Provide or obtain dental services for each resident. | E | Standard |
| Jan 16, 2024 | 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. | E | Standard |
| Jan 16, 2024 | 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. | E | Standard |
| Jan 16, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Jan 16, 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. | E | Standard |
| Jan 16, 2024 | 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 | Standard |
| Jan 16, 2024 | F688 | Provide 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. | E | Standard |
| Jan 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Jan 16, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Jan 16, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Jan 16, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jan 16, 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. | E | Standard |
| Jan 16, 2024 | 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 |
| Jan 16, 2024 | 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 16, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Jan 16, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Jan 16, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Jan 16, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard |
| Aug 8, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Aug 8, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 8, 2023 | F563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | Complaint |
| Dec 7, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 7, 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 |
| Dec 7, 2022 | 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 7, 2022 | 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 |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $66,876 and 2 payment-denial actions spanning 18 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 23, 2024 | Fine | $50,905 | — |
| Jul 23, 2024 | Payment Denial | — | Aug 27, 2024 · 9 days |
| Jan 16, 2024 | Fine | $15,971 | — |
| Jan 16, 2024 | Payment Denial | — | Apr 6, 2024 · 9 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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