Facility profile · CCN 395666
Spring Hill Rehabilitation And Nursing Center
104 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $19,366.
Record summary
Federal record · Q1 2026104
Total citations
104
Last 3 years
3
Actual harm+
3
Federal penalties
$19,366
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
104 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 22, 2026 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Complaint |
| Jan 22, 2026 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint |
| Jan 22, 2026 | F946 | Provide training in compliance and ethics. | E | Complaint |
| Jan 22, 2026 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Complaint |
| Jan 22, 2026 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Complaint |
| Jan 22, 2026 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint |
| Jan 22, 2026 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Complaint |
| Jan 22, 2026 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Complaint |
| Jan 22, 2026 | F908 | Keep all essential equipment working safely. | F | Complaint |
| Jan 22, 2026 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 22, 2026 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint |
| Jan 22, 2026 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Jan 22, 2026 | F730 | Observe each nurse aide's job performance and give regular training. | E | Complaint |
| Jan 22, 2026 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Complaint |
| Jan 22, 2026 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J | Complaint |
| Jan 22, 2026 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | L | Complaint |
| Jan 22, 2026 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Jan 22, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Dec 23, 2025 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Complaint |
| Dec 23, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Dec 23, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Dec 4, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Dec 4, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint |
| Dec 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 4, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 4, 2025 | 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. | D | Complaint |
| Dec 4, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jul 1, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jul 1, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 1, 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. | E | Complaint |
| Jul 1, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Jul 1, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 1, 2025 | 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. | D | Complaint |
| Jul 1, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Apr 18, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Apr 18, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 18, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Apr 18, 2025 | F908 | Keep all essential equipment working safely. | D | Standard |
| Apr 18, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Apr 18, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard |
| Apr 18, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 18, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Apr 18, 2025 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard |
| Apr 18, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | E | Standard |
| Apr 18, 2025 | 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 |
| Apr 18, 2025 | 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. | D | Standard |
| Apr 18, 2025 | 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 |
| Apr 18, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Apr 18, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Apr 18, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Apr 18, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Apr 18, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Apr 18, 2025 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard |
| Apr 18, 2025 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Apr 18, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Apr 18, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Apr 18, 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 |
| Apr 18, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Apr 18, 2025 | F625 | Notify 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. | D | Standard |
| Apr 18, 2025 | 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 |
| Apr 18, 2025 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Apr 18, 2025 | F620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | Standard |
| Apr 18, 2025 | 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 |
| Apr 18, 2025 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Mar 19, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Mar 19, 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 | Complaint |
| Mar 19, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Mar 19, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Mar 19, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 19, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 19, 2025 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Dec 27, 2024 | F620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | Complaint |
| Dec 27, 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 | Complaint |
| Sep 18, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Sep 18, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Aug 2, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 15, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Apr 25, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Apr 25, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 25, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Apr 25, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 25, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Apr 25, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Apr 25, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Apr 25, 2024 | 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 |
| Apr 25, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Apr 25, 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 |
| Apr 25, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Apr 25, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Apr 25, 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 |
| Apr 25, 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 |
| Apr 25, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Apr 25, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Apr 25, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Dec 7, 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. | D | Complaint |
| Jul 14, 2023 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Jul 14, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | C | Standard |
| Jul 14, 2023 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | B | Standard |
| Jul 14, 2023 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | B | Standard |
| Jul 14, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $19,366 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 14, 2023 | Fine | $4,545 | — |
| Aug 7, 2023 | Fine | $4,235 | — |
| Jul 17, 2023 | Fine | $10,586 | — |
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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