Facility profile · CCN 395629
Mt Macrina Manor
18 federal citations on record .
Record summary
Federal record · Q1 202618
Total citations
18
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
18 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 29, 2026 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Aug 14, 2025 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | B | Standard |
| Aug 14, 2025 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Standard |
| Aug 14, 2025 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | Standard |
| Aug 14, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard |
| Aug 14, 2025 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | B | Standard |
| Aug 14, 2025 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | C | Standard |
| Aug 14, 2025 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Aug 14, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 14, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Aug 14, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Aug 14, 2025 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard |
| Aug 14, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | Standard |
| Aug 14, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | Standard |
| 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 18, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Aug 18, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 18, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Standard |
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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