Independent · Federal inspection records, searchable
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Facility profile · CCN 505474

Martha And Mary Health Service

47 federal citations on record .

Record summary

Federal record · Q1 2026
47
Total citations
35
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
4
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

47 on record
SurveyF-TagViolationSeveritySource
May 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 16, 2024F880Provide and implement an infection prevention and control program.EStandard
Dec 16, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Dec 16, 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.EStandard
Dec 16, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Dec 16, 2024F700Try 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.EStandard
Dec 16, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 16, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 16, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Dec 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 16, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 16, 2024F641Ensure each resident receives an accurate assessment.DStandard
Dec 16, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Dec 16, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jul 8, 2024F880Provide and implement an infection prevention and control program.EComplaint
Oct 27, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Oct 27, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 27, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EComplaint
Oct 27, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Oct 27, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 27, 2023F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Oct 27, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Oct 27, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Oct 27, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Oct 27, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Oct 27, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Oct 27, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 27, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 27, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Oct 27, 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
Oct 27, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Oct 20, 2022F881Implement a program that monitors antibiotic use.DStandard
Oct 20, 2022F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Oct 20, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 20, 2022F778Help the resident make transportation arrangements to and from radiology services.DStandard
Oct 20, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Oct 20, 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
Oct 20, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Oct 20, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 20, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Oct 20, 2022F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Oct 20, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Oct 20, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.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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