Facility profile · CCN 265159
Mary, Queen And Mother Center
41 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $19,133.
Record summary
Federal record · Q1 202641
Total citations
16
Last 3 years
1
Actual harm+
2
Federal penalties
$19,133
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
41 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 19, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Nov 4, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 4, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 24, 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. | D | Standard |
| Mar 24, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Mar 24, 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. | D | Standard |
| Mar 24, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard |
| Jan 8, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 8, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jan 8, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Jan 8, 2024 | 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 8, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 8, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 8, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 8, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 18, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 18, 2021 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Standard |
| Oct 18, 2021 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard |
| Oct 18, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| Oct 18, 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 |
| Oct 18, 2021 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Oct 18, 2021 | 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. | D | Standard |
| Oct 18, 2021 | 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 |
| Oct 18, 2021 | F732 | Post nurse staffing information every day. | C | Standard |
| Oct 18, 2021 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Oct 18, 2021 | 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. | E | Standard |
| Oct 18, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Oct 18, 2021 | 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. | D | Standard |
| Oct 18, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 18, 2021 | 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 |
| Oct 18, 2021 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Oct 18, 2021 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Oct 18, 2021 | F620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | Standard |
| Oct 18, 2021 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Oct 18, 2021 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Oct 18, 2021 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Oct 18, 2021 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard |
| Oct 18, 2021 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard |
| Oct 18, 2021 | F567 | Honor the resident's right to manage his or her financial affairs. | B | Standard |
| Oct 18, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $19,133 and 1 payment-denial actions spanning 9 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 24, 2025 | Fine | $19,133 | — |
| Mar 24, 2025 | Payment Denial | — | Apr 26, 2025 · 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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