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Facility profile · CCN 095015

Serenity Rehabilitation And Health Center Llc

83 federal citations on record , and 1 federal enforcement actions totaling $47,684.

Record summary

Federal record · Q1 2026
83
Total citations
41
Last 3 years
1
Actual harm+
1
Federal penalties
$47,684
Total fines
4
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

83 on record
SurveyF-TagViolationSeveritySource
Jan 16, 2026F687Provide appropriate foot care.DComplaint
Jan 16, 2026F641Ensure each resident receives an accurate assessment.DComplaint
Feb 5, 2025F880Provide and implement an infection prevention and control program.EComplaint
Feb 5, 2025F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DComplaint
Feb 5, 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.EComplaint
Feb 5, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Feb 5, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Feb 5, 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.DComplaint
Feb 5, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Feb 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 5, 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.DComplaint
Feb 5, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Feb 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 5, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Feb 5, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Feb 5, 2025F625Notify 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
Feb 5, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 5, 2025F584Honor 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.DComplaint
Feb 5, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Feb 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 20, 2023F880Provide and implement an infection prevention and control program.DComplaint
Oct 20, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Oct 20, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 20, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Oct 20, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Oct 20, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Oct 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 20, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Oct 20, 2023F610Respond appropriately to all alleged violations.EComplaint
Oct 20, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Oct 20, 2023F584Honor 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.DComplaint
Oct 20, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jul 7, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 7, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Jul 7, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 7, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 7, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Jul 7, 2023F610Respond appropriately to all alleged violations.DComplaint
Jul 7, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jun 29, 2022F908Keep all essential equipment working safely.DStandard
Jun 29, 2022F880Provide and implement an infection prevention and control program.DStandard
Jun 29, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jun 29, 2022F803Ensure 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
Jun 29, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 29, 2022F726Ensure 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
Jun 29, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 29, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 29, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 29, 2022F688Provide 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.DStandard
Jun 29, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Jun 29, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 29, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 29, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jun 29, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 29, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 29, 2022F625Notify 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.EStandard
Jun 29, 2022F610Respond appropriately to all alleged violations.EStandard
Jun 29, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Jun 29, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Jun 29, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
Jun 29, 2022F584Honor 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.DStandard
Jun 29, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Sep 3, 2019F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Sep 3, 2019F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Sep 3, 2019F908Keep all essential equipment working safely.DStandard
Sep 3, 2019F880Provide and implement an infection prevention and control program.FStandard
Sep 3, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Sep 3, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 3, 2019F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Sep 3, 2019F761Ensure 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.EStandard
Sep 3, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Sep 3, 2019F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Sep 3, 2019F726Ensure 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
Sep 3, 2019F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.EStandard
Sep 3, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 3, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Sep 3, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 3, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 3, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 3, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Sep 3, 2019F567Honor the resident's right to manage his or her financial affairs.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $47,684 .

DateTypeFinePayment denial
Mar 28, 2025Fine$47,684
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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