Facility profile · CCN 165449
Spencer Post Acute Rehabilitation Center
44 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $24,706.
Record summary
Federal record · Q1 202644
Total citations
44
Last 3 years
2
Actual harm+
3
Federal penalties
$24,706
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 14, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 14, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 14, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 14, 2025 | 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. | D | Standard |
| Aug 14, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Aug 14, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 14, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Aug 14, 2025 | F693 | Ensure 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. | D | Standard |
| Aug 14, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Aug 14, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 14, 2025 | 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 |
| Aug 14, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard |
| Aug 14, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Aug 14, 2025 | F567 | Honor the resident's right to manage his or her financial affairs. | D | Standard |
| Aug 22, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 22, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 22, 2024 | 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. | D | Standard |
| Aug 22, 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. | D | Standard |
| Aug 22, 2024 | F732 | Post nurse staffing information every day. | E | Standard |
| Aug 22, 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. | E | Standard |
| Aug 22, 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 |
| Aug 22, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Aug 22, 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 |
| Aug 22, 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 |
| Aug 22, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 22, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| May 20, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Mar 14, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 14, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 14, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Oct 30, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 30, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 30, 2023 | 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 |
| Oct 30, 2023 | F760 | Ensure that residents are free from significant medication errors. | J | Standard |
| Oct 30, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Oct 30, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Oct 30, 2023 | 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. | E | Standard |
| Oct 30, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Oct 30, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Oct 30, 2023 | 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 |
| Oct 30, 2023 | 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 |
| Oct 30, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 30, 2023 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Jul 12, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $24,706 and 1 payment-denial actions spanning 7 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 20, 2024 | Fine | $14,433 | — |
| Oct 30, 2023 | Fine | $10,273 | — |
| Oct 30, 2023 | Payment Denial | — | Nov 24, 2023 · 7 days |
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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