Facility profile · CCN 365845
Rae Ann Suburban
44 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $10,065.
Record summary
Federal record · Q1 202644
Total citations
36
Last 3 years
2
Actual harm+
2
Federal penalties
$10,065
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 11, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Jun 11, 2025 | 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. | D | Complaint |
| Jun 11, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint |
| Jun 11, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | C | Standard |
| Jun 11, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard |
| Jun 11, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard |
| Jun 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 11, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jun 11, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jun 11, 2025 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Standard |
| Jun 11, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jan 23, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Dec 15, 2024 | F814 | Dispose of garbage and refuse properly. | C | Complaint |
| Dec 15, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Nov 4, 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 |
| Jun 28, 2024 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint |
| Mar 19, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 19, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 29, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 5, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Dec 5, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Nov 13, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Nov 13, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 13, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 23, 2023 | F926 | Have policies on smoking. | C | Complaint |
| Aug 23, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Aug 23, 2023 | F803 | Ensure 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. | D | Complaint |
| Aug 23, 2023 | F727 | Have 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. | F | Complaint |
| Aug 23, 2023 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Complaint |
| Aug 23, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint |
| Aug 2, 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 |
| Aug 2, 2023 | 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. | D | Complaint |
| May 19, 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. | F | Complaint |
| May 19, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| May 19, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 19, 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 | Complaint |
| Mar 23, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 23, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 23, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Aug 8, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Aug 8, 2022 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 8, 2019 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Aug 8, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 8, 2019 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $10,065 and 1 payment-denial actions spanning 1 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 13, 2023 | Fine | $10,065 | — |
| Nov 13, 2023 | Payment Denial | — | Jan 2, 2024 · 1 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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