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Facility profile · CCN 215191

Mallard Bay Nursing And Rehab

70 federal citations on record .

Record summary

Federal record · Q1 2026
70
Total citations
48
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

70 on record
SurveyF-TagViolationSeveritySource
Jan 8, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 8, 2026F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DComplaint
Jan 8, 2026F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jan 8, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 8, 2026F685Assist a resident in gaining access to vision and hearing services.DComplaint
Jan 8, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jan 8, 2026F641Ensure each resident receives an accurate assessment.EComplaint
Jan 8, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Jan 8, 2026F583Keep residents' personal and medical records private and confidential.DComplaint
Jan 8, 2026F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 22, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 22, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 22, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Sep 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 5, 2025F880Provide and implement an infection prevention and control program.DStandard
Sep 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 5, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
Sep 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Sep 5, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Sep 5, 2025F584Honor 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
Sep 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 30, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.EComplaint
Apr 30, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 30, 2025F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DComplaint
Apr 30, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.EComplaint
Apr 30, 2025F791Provide or obtain dental services for each resident.DComplaint
Apr 30, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Apr 30, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 30, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 30, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Apr 30, 2025F692Provide enough food/fluids to maintain a resident's health.EComplaint
Apr 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 30, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 30, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Apr 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 30, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 30, 2025F641Ensure each resident receives an accurate assessment.EComplaint
Apr 30, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Apr 30, 2025F610Respond appropriately to all alleged violations.EComplaint
Apr 30, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Apr 30, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 30, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Apr 30, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Apr 30, 2025F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Aug 26, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 26, 2022F803Ensure 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.DStandard
Aug 26, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 26, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 26, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Aug 26, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 4, 2018F880Provide and implement an infection prevention and control program.DStandard
Dec 4, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Dec 4, 2018F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 4, 2018F758Implement 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.EStandard
Dec 4, 2018F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 4, 2018F730Observe each nurse aide's job performance and give regular training.FStandard
Dec 4, 2018F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 4, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 4, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 4, 2018F641Ensure each resident receives an accurate assessment.DStandard
Dec 4, 2018F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Dec 4, 2018F610Respond appropriately to all alleged violations.DStandard
Dec 4, 2018F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Dec 4, 2018F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 4, 2018F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 4, 2018F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
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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