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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495097

Parham Health Care & Rehab Center

102 federal citations on record , including 4 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $175,036.

Abuse Icon Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
102
Total citations
77
Last 3 years
7
Actual harm+
2
Federal penalties
$175,036
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Resident Rights18 Care Planning13 Environment & Safety10 Abuse & Neglect8

Most common F-tags at this facility

F6775 F9214 F6563 F6573 F6583

Citation history

102 on record
SurveyF-TagViolationSeveritySource
Dec 17, 2025F946Provide training in compliance and ethics.DComplaint
Dec 17, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DComplaint
Dec 17, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DComplaint
Dec 17, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Dec 17, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DComplaint
Dec 17, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Dec 17, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Dec 17, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDComplaint
Dec 17, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint
Dec 17, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.FComplaint
Dec 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Dec 17, 2025F730Observe each nurse aide's job performance and give regular training.DComplaint
Dec 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Dec 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Dec 17, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 17, 2025F610Respond appropriately to all alleged violations.EComplaint
Dec 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 17, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Dec 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Dec 17, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Sep 3, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Sep 3, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Sep 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 3, 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.EComplaint
Apr 28, 2025F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DComplaint
Apr 28, 2025F880Provide and implement an infection prevention and control program.KComplaint
Apr 28, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Apr 28, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Apr 28, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Apr 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Apr 28, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Apr 28, 2025F610Respond appropriately to all alleged violations.DComplaint
Apr 28, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Apr 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 28, 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.FComplaint
Apr 28, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 28, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Apr 28, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Apr 28, 2025F908Keep all essential equipment working safely.EStandard
Apr 28, 2025F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FStandard
Apr 28, 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.EStandard
Apr 28, 2025F760Ensure that residents are free from significant medication errors.EStandard
Apr 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 28, 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.EStandard
Apr 28, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Apr 28, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Apr 28, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Apr 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 28, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 28, 2025F687Provide appropriate foot care.DStandard
Apr 28, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Apr 28, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 28, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 28, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 28, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 28, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Apr 28, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Apr 28, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 28, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Feb 13, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 13, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 14, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Sep 14, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Sep 14, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Sep 14, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Sep 14, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Sep 14, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 14, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 14, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 14, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 14, 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.EComplaint
Apr 27, 2022F888Ensure staff are vaccinated for COVID-19DStandard
Apr 27, 2022F887Educate 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.EStandard
Apr 27, 2022F886Perform COVID19 testing on residents and staff.DStandard
Apr 27, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Apr 27, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 27, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Apr 27, 2022F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
Apr 27, 2022F761Ensure 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 27, 2022F727Have 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.EStandard
Apr 27, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 27, 2022F692Provide enough food/fluids to maintain a resident's health.GStandard
Apr 27, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 27, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 27, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 27, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 27, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 27, 2022F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Dec 6, 2018F880Provide and implement an infection prevention and control program.DStandard
Dec 6, 2018F791Provide or obtain dental services for each resident.DStandard
Dec 6, 2018F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Dec 6, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 6, 2018F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Dec 6, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $175,036 .

DateTypeFinePayment denial
Dec 17, 2025Fine$114,300—
Apr 28, 2025Fine$60,736—
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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