Independent · Federal inspection records, searchable
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Facility profile · CCN 215144

South Mountain Rehab Center

47 federal citations on record .

Record summary

Federal record · Q1 2026
47
Total citations
30
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

47 on record
SurveyF-TagViolationSeveritySource
Dec 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 20, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Dec 20, 2024F610Respond appropriately to all alleged violations.EComplaint
Dec 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Dec 20, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 20, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Dec 20, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 20, 2024F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.EStandard
Dec 20, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Dec 20, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Dec 20, 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
Dec 20, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 20, 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
Dec 20, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 20, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Dec 20, 2024F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard
Dec 20, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Dec 20, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 20, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 20, 2024F688Provide 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
Dec 20, 2024F679Provide activities to meet all resident's needs.DStandard
Dec 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 20, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Dec 20, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 20, 2024F641Ensure each resident receives an accurate assessment.DStandard
Dec 20, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Dec 20, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Dec 20, 2024F584Honor 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.EStandard
Dec 20, 2024F578Honor 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
Nov 1, 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
Nov 1, 2019F730Observe each nurse aide's job performance and give regular training.DStandard
Nov 1, 2019F584Honor 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
Nov 1, 2019F578Honor 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
May 11, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 11, 2018F758Implement 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 11, 2018F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 11, 2018F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 11, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 11, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FStandard
May 11, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 11, 2018F641Ensure each resident receives an accurate assessment.DStandard
May 11, 2018F625Notify 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
May 11, 2018F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
May 11, 2018F584Honor 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
May 11, 2018F578Honor 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.EStandard
May 11, 2018F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.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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