Facility profile · CCN 265379
Pinnacle Point Wellness & Rehabilitation
37 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $145,591.
Record summary
Federal record · Q1 202637
Total citations
37
Last 3 years
1
Actual harm+
4
Federal penalties
$145,591
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 20, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Nov 20, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard |
| Nov 20, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Apr 10, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 10, 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 |
| Apr 10, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Apr 10, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 10, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Apr 10, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Apr 10, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Apr 10, 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. | E | Standard |
| Apr 10, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| Apr 10, 2025 | F574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Standard |
| Apr 10, 2025 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard |
| Apr 10, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Oct 15, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Oct 15, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Oct 15, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Oct 15, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Oct 15, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Oct 15, 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 |
| Oct 15, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Oct 15, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Oct 15, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Oct 15, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Oct 15, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Oct 15, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Oct 15, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard |
| Oct 15, 2024 | 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 |
| Oct 15, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Oct 15, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Oct 15, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 19, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Feb 29, 2024 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | F | Complaint |
| Nov 20, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Nov 20, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Nov 20, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $145,591 and 2 payment-denial actions spanning 75 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 19, 2024 | Payment Denial | — | Jun 4, 2024 · 13 days |
| Nov 20, 2023 | Fine | $52,878 | — |
| Nov 20, 2023 | Payment Denial | — | Jan 2, 2024 · 62 days |
| May 23, 2023 | Fine | $92,713 | — |
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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