Facility profile · CCN 055017
Redwood Grove Post Acute
44 federal citations on record , including 1 at the Immediate Jeopardy level.
Record summary
Federal record · Q1 202644
Total citations
11
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
3
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 |
|---|---|---|---|---|
| Dec 1, 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 |
| Mar 12, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 6, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 6, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 21, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 9, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Sep 4, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 28, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jun 3, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jun 29, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jun 29, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Apr 5, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 4, 2023 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint |
| Mar 6, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 23, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard |
| Feb 23, 2022 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 23, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 23, 2022 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Feb 23, 2022 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | F | Standard |
| Feb 23, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Standard |
| Feb 23, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Feb 23, 2022 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Feb 23, 2022 | 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. | E | Standard |
| Feb 23, 2022 | 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 23, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 23, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 23, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 23, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Feb 23, 2022 | 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. | D | Standard |
| Jul 17, 2019 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Jul 17, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 17, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 17, 2019 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Jul 17, 2019 | 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 |
| Jul 17, 2019 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 17, 2019 | 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 |
| Jul 17, 2019 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jul 17, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jul 17, 2019 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Jul 17, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 17, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 17, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 17, 2019 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jul 17, 2019 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | 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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