Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555718

Rowntree Gardens

56 federal citations on record .

Record summary

Federal record · Q1 2026
56
Total citations
35
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
4
Overall ★ rating

Most common violation categories here

Quality of Care15 Resident Rights10 Nutrition & Dietary8 Medication & Pharmacy7 Care Planning5

Most common F-tags at this facility

F6953 F7553 F8123 F8803 F5582

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Dec 11, 2025F881Implement a program that monitors antibiotic use.EStandard
Dec 11, 2025F880Provide and implement an infection prevention and control program.EStandard
Dec 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 11, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 11, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EStandard
Dec 11, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Dec 11, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 11, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 11, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Dec 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 11, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BStandard
Dec 11, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 11, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard
Dec 11, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Feb 10, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Oct 29, 2024F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
Oct 29, 2024F881Implement a program that monitors antibiotic use.DStandard
Oct 29, 2024F880Provide and implement an infection prevention and control program.DStandard
Oct 29, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Oct 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 29, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Oct 29, 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.DStandard
Oct 29, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Oct 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 29, 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
Oct 29, 2024F700Try 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.EStandard
Oct 29, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 29, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Oct 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 29, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 29, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard
Oct 29, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 29, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.BStandard
Mar 3, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Mar 3, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Mar 3, 2023F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard
Mar 3, 2023F880Provide and implement an infection prevention and control program.DStandard
Mar 3, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Mar 3, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Mar 3, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Mar 3, 2023F803Ensure 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.DStandard
Mar 3, 2023F761Ensure 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.DStandard
Mar 3, 2023F760Ensure that residents are free from significant medication errors.DStandard
Mar 3, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 3, 2023F700Try 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.DStandard
Mar 3, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 3, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 3, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 3, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 3, 2023F641Ensure each resident receives an accurate assessment.DStandard
Mar 3, 2023F578Honor 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.DStandard
Mar 3, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Mar 3, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 3, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
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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