Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 225752

Serenity Hill Nursing Center

35 federal citations on record .

Record summary

Federal record · Q1 2026
35
Total citations
27
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning9 Infection Control8 Medication & Pharmacy6 Resident Rights5 Quality of Care2

Most common F-tags at this facility

F6563 F6583 F8803 F7582 F7612

Citation history

35 on record
SurveyF-TagViolationSeveritySource
Apr 29, 2025F909Regularly 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.FStandard
Apr 29, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Apr 29, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 29, 2025F881Implement a program that monitors antibiotic use.DStandard
Apr 29, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 29, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Apr 29, 2025F761Ensure 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.FStandard
Apr 29, 2025F758Implement 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.DStandard
Apr 29, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 29, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.EStandard
Apr 29, 2025F699Provide care or services that was trauma informed and/or culturally competent.EStandard
Apr 29, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 29, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 29, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 29, 2025F585Honor 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
Apr 29, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Apr 29, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 14, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
May 14, 2024F880Provide and implement an infection prevention and control program.EStandard
May 14, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 14, 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
May 14, 2024F758Implement 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.DStandard
May 14, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 14, 2024F727Have 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.FStandard
May 14, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
May 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 14, 2024F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Mar 9, 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 9, 2023F885Report COVID19 data to residents and families.FStandard
Mar 9, 2023F880Provide and implement an infection prevention and control program.DStandard
Mar 9, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Mar 9, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 9, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 9, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
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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