Facility profile · CCN 395001
Passavant Retirement And Healt
22 federal citations on record .
Record summary
Federal record · Q1 202622
Total citations
20
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
22 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 9, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jul 7, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 21, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 21, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard |
| Feb 21, 2025 | 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 |
| Feb 21, 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 | Standard |
| Feb 21, 2025 | 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. | D | Standard |
| Feb 21, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jan 13, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 10, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 21, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Mar 28, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 28, 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 |
| Mar 28, 2024 | F700 | Try 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. | E | Standard |
| Mar 28, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Mar 28, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 28, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard |
| Mar 28, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Mar 28, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Apr 6, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 6, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 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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