Facility profile · CCN 056415
Lynwood Post Acute Care Center
64 federal citations on record , including 2 at the Immediate Jeopardy level.
Record summary
Federal record · Q1 202664
Total citations
47
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
64 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 13, 2026 | 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 | Complaint |
| Jul 9, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 9, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 9, 2025 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Jan 16, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 16, 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 16, 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 16, 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. | E | Standard |
| Jan 16, 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 |
| Jan 16, 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 |
| Jan 16, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 16, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard |
| Jan 16, 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 | Standard |
| Jan 16, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 16, 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 |
| Jan 16, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jan 16, 2025 | 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 |
| Jan 16, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jan 16, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Jan 16, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Nov 27, 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 |
| Jul 23, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 25, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 25, 2024 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard |
| Jan 25, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jan 25, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard |
| Jan 25, 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. | D | Standard |
| Jan 25, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jan 25, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 25, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 25, 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 25, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jan 25, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jan 25, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 25, 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 25, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jan 25, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard |
| Jan 18, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Nov 22, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 17, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Sep 11, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 5, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 24, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | — |
| Aug 24, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | — |
| Aug 18, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jun 14, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jun 14, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Mar 24, 2023 | 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 11, 2021 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| May 11, 2021 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| May 11, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 11, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| May 11, 2021 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| May 11, 2021 | 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 |
| May 11, 2021 | F760 | Ensure that residents are free from significant medication errors. | K | Standard |
| May 11, 2021 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| May 11, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| May 11, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| May 11, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Standard |
| May 11, 2021 | 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 |
| May 11, 2021 | 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 |
| May 11, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| May 11, 2021 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| May 11, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 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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