Facility profile · CCN 515167
Shenandoah Center
61 federal citations on record , including 3 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $48,469.
Record summary
Federal record · Q1 202661
Total citations
24
Last 3 years
4
Actual harm+
4
Federal penalties
$48,469
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
61 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 6, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jul 26, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Jul 26, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Jul 26, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jul 26, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jul 26, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 26, 2024 | 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 |
| Jul 26, 2024 | F760 | Ensure that residents are free from significant medication errors. | J | Standard |
| Jul 26, 2024 | F758 | Implement 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. | E | Standard |
| Jul 26, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Jul 26, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Jul 26, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | K | Standard |
| Jul 26, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jul 26, 2024 | F688 | Provide 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. | D | Standard |
| Jul 26, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Jul 26, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Standard |
| Jul 26, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 26, 2024 | 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 |
| Jul 26, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 26, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Jul 26, 2024 | 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 | Standard |
| Jul 26, 2024 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Jul 26, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard |
| Jun 14, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 1, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 1, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 30, 2022 | F885 | Report COVID19 data to residents and families. | F | Standard |
| Sep 30, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 30, 2022 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Standard |
| Sep 30, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 30, 2022 | 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. | E | Standard |
| Sep 30, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Sep 30, 2022 | 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. | E | Standard |
| Sep 30, 2022 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Sep 30, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Sep 30, 2022 | F732 | Post nurse staffing information every day. | E | Standard |
| Sep 30, 2022 | F727 | Have 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. | F | Standard |
| Sep 30, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Sep 30, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Sep 30, 2022 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Sep 30, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 30, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Sep 30, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Sep 30, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 30, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 30, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Sep 30, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Sep 30, 2022 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Nov 20, 2019 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Nov 20, 2019 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Nov 20, 2019 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Nov 20, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Nov 20, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 20, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | Standard |
| Nov 20, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Nov 20, 2019 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Nov 20, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Nov 20, 2019 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Nov 20, 2019 | 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 |
| Nov 20, 2019 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Nov 20, 2019 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $48,469 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 26, 2024 | Fine | $8,018 | — |
| Jul 26, 2024 | Fine | $10,023 | — |
| Jul 26, 2024 | Fine | $13,627 | — |
| Jul 26, 2024 | Fine | $16,801 | — |
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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