Facility profile · CCN 195594
Pilgrim Manor Skilled Nursing And Rehabilitation
21 federal citations on record , including 5 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $192,943.
Record summary
Federal record · Q1 202621
Total citations
17
Last 3 years
6
Actual harm+
4
Federal penalties
$192,943
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
21 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 3, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 3, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 17, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | E | Standard |
| Dec 17, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 17, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Dec 17, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Dec 4, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Dec 4, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Aug 1, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Complaint |
| Aug 1, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Complaint |
| Aug 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint |
| Apr 24, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Jan 31, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Jan 31, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Jan 31, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| Jan 31, 2024 | F578 | Honor 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. | E | Standard |
| Jun 7, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| Jan 31, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 31, 2023 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Jan 31, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 31, 2023 | 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. | E | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $192,943 and 1 payment-denial actions spanning 13 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 3, 2025 | Fine | $19,115 | — |
| Sep 3, 2025 | Payment Denial | — | Oct 16, 2025 · 13 days |
| Dec 4, 2024 | Fine | $52,855 | — |
| Aug 1, 2024 | Fine | $120,973 | — |
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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