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Facility profile · CCN 375551

Medical Park West Rehabilitation & Skilled Care

56 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $21,962.

Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
56
Total citations
43
Last 3 years
3
Actual harm+
1
Federal penalties
$21,962
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Jan 13, 2026F760Ensure that residents are free from significant medication errors.EComplaint
Jul 24, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Jul 24, 2025F760Ensure that residents are free from significant medication errors.KComplaint
Jul 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Mar 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jan 30, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Jan 30, 2025F761Ensure 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.EStandard
Jan 30, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 30, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 30, 2025F692Provide enough food/fluids to maintain a resident's health.EStandard
Jan 30, 2025F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Jan 30, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Jan 30, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Jan 30, 2025F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Jan 30, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jan 24, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 26, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.EComplaint
Apr 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Apr 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 18, 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.DComplaint
Nov 7, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Nov 7, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 7, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Nov 7, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Nov 7, 2023F881Implement a program that monitors antibiotic use.EStandard
Nov 7, 2023F880Provide and implement an infection prevention and control program.EStandard
Nov 7, 2023F838Conduct 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.FStandard
Nov 7, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Nov 7, 2023F761Ensure 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.EStandard
Nov 7, 2023F760Ensure that residents are free from significant medication errors.DStandard
Nov 7, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Nov 7, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 7, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 7, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Nov 7, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Nov 7, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 7, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Nov 7, 2023F578Honor 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
Nov 7, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Aug 8, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 15, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
May 15, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 15, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 9, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 9, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Mar 9, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 9, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 9, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 4, 2022F880Provide and implement an infection prevention and control program.EStandard
Oct 4, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 4, 2022F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Oct 4, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 4, 2022F726Ensure 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
Oct 4, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Oct 4, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Oct 4, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $21,962 .

DateTypeFinePayment denial
Nov 7, 2023Fine$21,962
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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