Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055608

Primrose Post-acute

68 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $16,801.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
68
Total citations
45
Last 3 years
1
Actual harm+
2
Federal penalties
$16,801
Total fines
2
Overall ★ rating

Most common violation categories here

Care Planning13 Resident Rights11 Quality of Care11 Nutrition & Dietary8 Medication & Pharmacy7

Most common F-tags at this facility

F6585 F7554 F8123 F8803 F9123

Citation history

68 on record
SurveyF-TagViolationSeveritySource
Sep 3, 2025F583Keep residents' personal and medical records private and confidential.EComplaint
May 23, 2025F641Ensure each resident receives an accurate assessment.EComplaint
May 23, 2025F610Respond appropriately to all alleged violations.DComplaint
May 23, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
May 23, 2025F881Implement a program that monitors antibiotic use.DStandard
May 23, 2025F880Provide and implement an infection prevention and control program.DStandard
May 23, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard
May 23, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 23, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
May 23, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
May 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 23, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 23, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 23, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
May 23, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 23, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
May 23, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 11, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 31, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 10, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
May 10, 2024F838Conduct 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
May 10, 2024F814Dispose of garbage and refuse properly.EStandard
May 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 10, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
May 10, 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 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 10, 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.DStandard
May 10, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 10, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 10, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard
May 10, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 10, 2024F641Ensure each resident receives an accurate assessment.DStandard
May 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 10, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Mar 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 11, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jan 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 11, 2024F584Honor 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.DComplaint
Oct 26, 2023F880Provide and implement an infection prevention and control program.EComplaint
Sep 6, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 28, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 28, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Apr 5, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 11, 2022F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Feb 11, 2022F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Feb 11, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Feb 11, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Feb 11, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 11, 2022F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Feb 11, 2022F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard
Feb 11, 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.EStandard
Feb 11, 2022F759Ensure medication error rates are not 5 percent or greater.EStandard
Feb 11, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Feb 11, 2022F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Feb 11, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 11, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Feb 11, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Feb 11, 2022F641Ensure each resident receives an accurate assessment.EStandard
Feb 11, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Feb 11, 2022F585Honor 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.EStandard
Feb 11, 2022F584Honor 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.DStandard
Feb 11, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Feb 11, 2022F578Honor 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.EStandard
Feb 11, 2022F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard
Feb 11, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $16,801 and 1 payment-denial actions spanning 2 days.

DateTypeFinePayment denial
May 10, 2024Fine$16,801—
May 10, 2024Payment Denial—Jun 5, 2024 · 2 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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