Facility profile · CCN 395514
Maybrook Hills Rehabilitation And Healthcare Cente
56 federal citations on record .
Record summary
Federal record · Q1 202656
Total citations
56
Last 3 years
0
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
56 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 7, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 7, 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 |
| Aug 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Aug 7, 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 |
| Aug 7, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 7, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| Aug 7, 2025 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Aug 7, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Jun 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 5, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 18, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Aug 28, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 28, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Aug 28, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Aug 28, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 28, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Aug 28, 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 |
| Aug 28, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Aug 28, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Aug 28, 2024 | F693 | Ensure 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. | E | Standard |
| Aug 28, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 28, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Aug 28, 2024 | 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 |
| Aug 28, 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 | Standard |
| Aug 28, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 28, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Aug 28, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Aug 28, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Aug 28, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Aug 28, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Aug 28, 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 |
| Aug 7, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Aug 7, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Aug 7, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 16, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Apr 16, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint |
| Apr 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 16, 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 | Complaint |
| Apr 16, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Dec 22, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Oct 26, 2023 | F908 | Keep all essential equipment working safely. | E | Complaint |
| Oct 26, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Oct 26, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Oct 26, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Oct 26, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 26, 2023 | 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 26, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Oct 26, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Oct 26, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Oct 26, 2023 | 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 |
| Oct 26, 2023 | 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 |
| Oct 26, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Oct 26, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Oct 26, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| May 8, 2023 | 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 | Complaint |
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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