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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215164

Shady Grove Nursing And Rehabilitation Center

84 federal citations on record , and 1 federal enforcement actions totaling $12,735.

Record summary

Federal record · Q1 2026
84
Total citations
53
Last 3 years
1
Actual harm+
1
Federal penalties
$12,735
Total fines
2
Overall ★ rating

Most common violation categories here

Care Planning21 Quality of Care19 Resident Rights16 Medication & Pharmacy8 Abuse & Neglect7

Most common F-tags at this facility

F8804 F6574 F6844 F8424 F6893

Citation history

84 on record
SurveyF-TagViolationSeveritySource
Dec 19, 2025F880Provide and implement an infection prevention and control program.DComplaint
Dec 19, 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
Jul 17, 2025F659Provide care by qualified persons according to each resident's written plan of care.DComplaint
Jun 16, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jun 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 16, 2025F610Respond appropriately to all alleged violations.DComplaint
Jun 16, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Mar 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Mar 13, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Mar 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 13, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Mar 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FComplaint
Mar 13, 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.DStandard
Mar 13, 2025F908Keep all essential equipment working safely.DStandard
Mar 13, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 13, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 13, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Mar 13, 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.DStandard
Mar 13, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 13, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 13, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Mar 13, 2025F700Try 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 13, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 13, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 13, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 13, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 13, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Mar 13, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 13, 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.DStandard
Mar 13, 2025F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
Mar 13, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 13, 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.DStandard
Mar 13, 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.DStandard
Mar 13, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Mar 13, 2025F578Honor 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 13, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Mar 13, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 13, 2025F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Mar 13, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Mar 13, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 26, 2024F923Have enough outside ventilation via a window or mechanical ventilation, or both.DComplaint
Mar 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 26, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Mar 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 26, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 26, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 26, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Mar 26, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 26, 2024F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DComplaint
Jan 15, 2021F880Provide and implement an infection prevention and control program.EStandard
Jan 15, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 15, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jan 15, 2021F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jan 15, 2021F693Ensure 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.EStandard
Jan 15, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 15, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 15, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jan 15, 2021F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.EStandard
Jan 15, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 15, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jan 15, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 15, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jan 15, 2021F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 12, 2019F880Provide and implement an infection prevention and control program.FStandard
Apr 12, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard
Apr 12, 2019F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DStandard
Apr 12, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.CStandard
Apr 12, 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.DStandard
Apr 12, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 12, 2019F758Implement 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 12, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 12, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Apr 12, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 12, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 12, 2019F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 12, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Apr 12, 2019F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 12, 2019F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Apr 12, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 12, 2019F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $12,735 .

DateTypeFinePayment denial
Jun 16, 2025Fine$12,735—
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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