Independent · Federal inspection records, searchable
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Facility profile · CCN 056234

Marlora Post Acute Rehab Hosp

57 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $37,595.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
57
Total citations
44
Last 3 years
2
Actual harm+
2
Federal penalties
$37,595
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

57 on record
SurveyF-TagViolationSeveritySource
Jan 5, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 8, 2025F880Provide and implement an infection prevention and control program.EComplaint
Nov 23, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.JComplaint
Aug 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Aug 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 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
May 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 6, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard
Dec 6, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard
Dec 6, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 6, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Dec 6, 2024F761Ensure 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.DStandard
Dec 6, 2024F760Ensure that residents are free from significant medication errors.KStandard
Dec 6, 2024F758Implement 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
Dec 6, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Dec 6, 2024F699Provide care or services that was trauma informed and/or culturally competent.EStandard
Dec 6, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 6, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 6, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 6, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 6, 2024F610Respond appropriately to all alleged violations.EStandard
Dec 6, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Dec 6, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Dec 6, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Dec 6, 2024F578Honor 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.EStandard
Dec 6, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Dec 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 13, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 13, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Aug 26, 2024F585Honor 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.DComplaint
Jul 18, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jan 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 8, 2023F880Provide and implement an infection prevention and control program.EStandard
Dec 8, 2023F791Provide or obtain dental services for each resident.DStandard
Dec 8, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Dec 8, 2023F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Dec 8, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 8, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Nov 14, 2023F585Honor 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.DComplaint
Oct 19, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Oct 19, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Oct 19, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 25, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 9, 2022F880Provide and implement an infection prevention and control program.EStandard
Dec 9, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 9, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 9, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 9, 2022F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Dec 9, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 9, 2022F688Provide 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.EStandard
Dec 9, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 9, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 9, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Dec 9, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 9, 2022F641Ensure each resident receives an accurate assessment.DStandard
Dec 9, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $37,595 and 1 payment-denial actions spanning 6 days.

DateTypeFinePayment denial
Dec 5, 2024Fine$37,595
Sep 25, 2023Payment DenialDec 25, 2023 · 6 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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