Facility profile · CCN 285095
Monument Rehabilitation And Care Center
48 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $59,382.
Record summary
Federal record · Q1 202648
Total citations
44
Last 3 years
3
Actual harm+
3
Federal penalties
$59,382
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
48 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 16, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Aug 16, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard |
| Aug 16, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 16, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 16, 2025 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Aug 16, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 16, 2025 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard |
| Aug 16, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 16, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Aug 16, 2025 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Jul 9, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 3, 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 | Complaint |
| Apr 3, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G | Complaint |
| Apr 3, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 3, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Apr 3, 2025 | 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 |
| Apr 3, 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 |
| Dec 16, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 1, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Aug 1, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Aug 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 1, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Aug 1, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Aug 1, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 1, 2024 | 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 |
| Aug 1, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 1, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Aug 1, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard |
| Aug 1, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Aug 1, 2024 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | C | Standard |
| Aug 1, 2024 | F584 | Honor 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. | E | Standard |
| Aug 1, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Nov 15, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 13, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Jul 13, 2023 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | C | Complaint |
| Jul 13, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Jul 13, 2023 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C | Standard |
| Jul 13, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jul 13, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 13, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jul 13, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jul 13, 2023 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Mar 28, 2023 | F886 | Perform COVID19 testing on residents and staff. | E | — |
| Mar 28, 2023 | F885 | Report COVID19 data to residents and families. | F | — |
| Mar 28, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | — |
| Mar 28, 2023 | F880 | Provide and implement an infection prevention and control program. | L | — |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $59,382 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 3, 2025 | Fine | $16,744 | — |
| Aug 1, 2024 | Fine | $11,438 | — |
| Mar 28, 2023 | Fine | $31,200 | — |
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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