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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 295067

Ormsby Post Acute Rehabilitation

100 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $60,464.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
100
Total citations
95
Last 3 years
1
Actual harm+
2
Federal penalties
$60,464
Total fines
1
Overall ★ rating

Most common violation categories here

Administration20 Care Planning15 Resident Rights14 Quality of Care13 Abuse & Neglect11

Most common F-tags at this facility

F6007 F6564 F7613 F8423 F5523

Citation history

100 on record
SurveyF-TagViolationSeveritySource
Mar 27, 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.EStandard
Mar 27, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 27, 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
Mar 27, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 27, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 27, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Mar 27, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Mar 27, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DComplaint
Sep 18, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Sep 18, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 18, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Sep 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 29, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 29, 2024F610Respond appropriately to all alleged violations.JComplaint
May 29, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
May 29, 2024F946Provide training in compliance and ethics.FStandard
May 29, 2024F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard
May 29, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
May 29, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
May 29, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard
May 29, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard
May 29, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
May 29, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
May 29, 2024F881Implement a program that monitors antibiotic use.FStandard
May 29, 2024F880Provide and implement an infection prevention and control program.DStandard
May 29, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
May 29, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DStandard
May 29, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 29, 2024F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.CStandard
May 29, 2024F839Employ staff that are licensed, certified, or registered in accordance with state laws.CStandard
May 29, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
May 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 29, 2024F761Ensure 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
May 29, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
May 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 29, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
May 29, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
May 29, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard
May 29, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 29, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 29, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard
May 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 29, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DStandard
May 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 29, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
May 29, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 29, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 29, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 29, 2024F622Not 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
May 29, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
May 29, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 16, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 16, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Oct 16, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 5, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
Jul 5, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Jul 5, 2023F946Provide training in compliance and ethics.EStandard
Jul 5, 2023F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard
Jul 5, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Jul 5, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Jul 5, 2023F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard
Jul 5, 2023F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard
Jul 5, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FStandard
Jul 5, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Jul 5, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jul 5, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Jul 5, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard
Jul 5, 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
Jul 5, 2023F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.CStandard
Jul 5, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Jul 5, 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.DStandard
Jul 5, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Jul 5, 2023F758Implement 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
Jul 5, 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.FStandard
Jul 5, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jul 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 5, 2023F679Provide activities to meet all resident's needs.DStandard
Jul 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jul 5, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 5, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 5, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jul 5, 2023F584Honor 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
Jul 5, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jul 5, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jul 5, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jul 5, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 5, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 27, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 1, 2023F839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint
Mar 1, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Mar 1, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Mar 1, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 1, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $60,464 and 1 payment-denial actions spanning 6 days.

DateTypeFinePayment denial
May 29, 2024Fine$60,464—
May 29, 2024Payment Denial—Jul 18, 2024 · 6 days
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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