Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495417

Mountain Laurel Rehabilitation And Nursing

87 federal citations on record , including 3 at the Immediate Jeopardy level, and 10 federal enforcement actions totaling $204,839.

Abuse Icon Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
87
Total citations
76
Last 3 years
8
Actual harm+
10
Federal penalties
$204,839
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights14 Medication & Pharmacy11 Administration10 Care Planning9

Most common F-tags at this facility

F6844 F7553 F7603 F8123 F8803

Citation history

87 on record
SurveyF-TagViolationSeveritySource
Apr 8, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint
Apr 8, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Apr 8, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Apr 8, 2025F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DComplaint
Apr 8, 2025F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.GComplaint
Apr 8, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.JComplaint
Apr 8, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Apr 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Apr 8, 2025F679Provide activities to meet all resident's needs.DComplaint
Apr 8, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 8, 2025F675Honor each resident's preferences, choices, values and beliefs.GComplaint
Apr 8, 2025F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Apr 8, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Apr 8, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Apr 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Apr 8, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Apr 8, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 8, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 8, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.DStandard
Apr 8, 2025F814Dispose of garbage and refuse properly.EStandard
Apr 8, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 8, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Apr 8, 2025F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.GStandard
Apr 8, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Apr 8, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.EStandard
Apr 8, 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.DStandard
Apr 8, 2025F760Ensure that residents are free from significant medication errors.DStandard
Apr 8, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 8, 2025F758Implement 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.DStandard
Apr 8, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 8, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 8, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 8, 2025F732Post nurse staffing information every day.CStandard
Apr 8, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Apr 8, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Apr 8, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Apr 8, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 8, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 8, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 8, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard
Apr 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 8, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 8, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 8, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Apr 8, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 8, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 8, 2025F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard
Apr 8, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Apr 8, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 8, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Apr 8, 2025F584Honor 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.EStandard
Apr 8, 2025F583Keep residents' personal and medical records private and confidential.DStandard
Apr 8, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 8, 2025F578Honor 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
Apr 8, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Apr 8, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Dec 4, 2024F880Provide and implement an infection prevention and control program.DComplaint
Dec 4, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Dec 4, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 4, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Dec 4, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 4, 2024F584Honor 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.DComplaint
Dec 4, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 14, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 14, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 14, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Aug 14, 2023F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DStandard
Aug 14, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Aug 14, 2023F839Employ staff that are licensed, certified, or registered in accordance with state laws.DStandard
Aug 14, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Aug 14, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Aug 14, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Aug 14, 2023F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Aug 14, 2023F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Aug 14, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 14, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Jul 1, 2021F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jul 1, 2021F880Provide and implement an infection prevention and control program.EStandard
Jul 1, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 1, 2021F760Ensure that residents are free from significant medication errors.DStandard
Jul 1, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jul 1, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 1, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jul 1, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jul 1, 2021F583Keep residents' personal and medical records private and confidential.DStandard
Jul 1, 2021F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jul 1, 2021F578Honor 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.DStandard

Federal enforcement history

Federal regulators have imposed 10 enforcement actions against this facility, including 10 civil money penalties totaling $204,839 .

DateTypeFinePayment denial
Apr 8, 2025Fine$170,017—
Dec 4, 2024Fine$8,357—
Sep 25, 2023Fine$4,235—
Sep 18, 2023Fine$3,882—
Sep 11, 2023Fine$3,529—
Sep 5, 2023Fine$3,176—
Aug 28, 2023Fine$2,823—
Aug 21, 2023Fine$2,470—
Aug 14, 2023Fine$2,117—
Jul 24, 2023Fine$4,233—
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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