Facility profile · CCN 676251
Misty Willow Healthcare And Rehabilitation Center
31 federal citations on record , including 7 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $46,677.
Record summary
Federal record · Q1 202631
Total citations
28
Last 3 years
8
Actual harm+
2
Federal penalties
$46,677
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
31 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 4, 2025 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard |
| Dec 4, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 4, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Dec 4, 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 |
| Dec 4, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 4, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Dec 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 24, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint |
| Sep 24, 2025 | F610 | Respond appropriately to all alleged violations. | K | Complaint |
| Sep 24, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint |
| Sep 24, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Sep 24, 2025 | F564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | D | Complaint |
| Mar 29, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint |
| Mar 29, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Mar 29, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint |
| Aug 30, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Aug 30, 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 30, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 30, 2024 | 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. | D | Standard |
| Aug 30, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 30, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Jun 16, 2023 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint |
| Jun 16, 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. | D | Complaint |
| Jun 16, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Jun 16, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jun 16, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jun 16, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Jun 16, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Apr 6, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 6, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 1, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $46,677 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 24, 2025 | Fine | $31,530 | — |
| Mar 29, 2025 | Fine | $15,147 | — |
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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