Facility profile · CCN 365950
Sapphire Rehabilitation And Care Center
84 federal citations on record , including 5 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $97,995.
Record summary
Federal record · Q1 202684
Total citations
71
Last 3 years
8
Actual harm+
4
Federal penalties
$97,995
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
84 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 28, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Dec 11, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Dec 11, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Complaint |
| Dec 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Dec 11, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint |
| Dec 11, 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 | Complaint |
| Dec 11, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Dec 11, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 11, 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 | Complaint |
| Dec 11, 2025 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint |
| Dec 11, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Nov 14, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 22, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | C | Complaint |
| Sep 22, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | Complaint |
| Sep 22, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Sep 22, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Sep 22, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 22, 2025 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Sep 22, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 22, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Sep 22, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Sep 22, 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. | E | Standard |
| Sep 22, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Sep 22, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Sep 22, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Sep 22, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Standard |
| Sep 22, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Sep 22, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 22, 2025 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard |
| Sep 22, 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 | Standard |
| Sep 22, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Sep 22, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 22, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Sep 22, 2025 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Sep 22, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Sep 22, 2025 | 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 |
| Sep 22, 2025 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Sep 22, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Sep 22, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Sep 22, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Sep 22, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Sep 22, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Sep 22, 2025 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard |
| Sep 22, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jun 23, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| May 12, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Mar 4, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 4, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Mar 4, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 4, 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. | D | Complaint |
| Aug 5, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| May 30, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 30, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 1, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Feb 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Feb 1, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Complaint |
| Feb 1, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint |
| Feb 1, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 1, 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 |
| Feb 1, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jun 27, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jun 27, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Jun 27, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Jun 27, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Jun 27, 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 | Standard |
| Jun 27, 2023 | F791 | Provide or obtain dental services for each resident. | J | Standard |
| Jun 27, 2023 | F760 | Ensure that residents are free from significant medication errors. | J | Standard |
| Jun 27, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | C | Standard |
| Jun 27, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 27, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
| Feb 27, 2020 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Feb 27, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 27, 2020 | 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 |
| Feb 27, 2020 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Feb 27, 2020 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 27, 2020 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Feb 27, 2020 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 27, 2020 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Feb 27, 2020 | 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 |
| Feb 27, 2020 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Feb 27, 2020 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Feb 27, 2020 | 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 |
| Feb 27, 2020 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $97,995 and 2 payment-denial actions spanning 93 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 11, 2025 | Payment Denial | — | Oct 18, 2025 · 75 days |
| May 12, 2025 | Fine | $63,207 | — |
| May 12, 2025 | Payment Denial | — | Jun 6, 2025 · 18 days |
| Jun 27, 2023 | Fine | $34,788 | — |
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.
Concerned about care at Sapphire Rehabilitation And Care Center?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys