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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.

Abuse Icon Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
104
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
SurveyF-TagViolationSeveritySource
Jan 22, 2026F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint
Jan 22, 2026F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint
Jan 22, 2026F946Provide training in compliance and ethics.EComplaint
Jan 22, 2026F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EComplaint
Jan 22, 2026F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EComplaint
Jan 22, 2026F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint
Jan 22, 2026F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EComplaint
Jan 22, 2026F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EComplaint
Jan 22, 2026F908Keep all essential equipment working safely.FComplaint
Jan 22, 2026F880Provide and implement an infection prevention and control program.DComplaint
Jan 22, 2026F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Jan 22, 2026F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Jan 22, 2026F730Observe each nurse aide's job performance and give regular training.EComplaint
Jan 22, 2026F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DComplaint
Jan 22, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.JComplaint
Jan 22, 2026F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.LComplaint
Jan 22, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jan 22, 2026F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Dec 23, 2025F837Establish 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.FComplaint
Dec 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 4, 2025F880Provide and implement an infection prevention and control program.EComplaint
Dec 4, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Dec 4, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 4, 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.DComplaint
Dec 4, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jul 1, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jul 1, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Jul 1, 2025F693Ensure 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.EComplaint
Jul 1, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Jul 1, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 1, 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.DComplaint
Jul 1, 2025F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Apr 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Apr 18, 2025F610Respond appropriately to all alleged violations.DComplaint
Apr 18, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Apr 18, 2025F908Keep all essential equipment working safely.DStandard
Apr 18, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 18, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EStandard
Apr 18, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 18, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Apr 18, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard
Apr 18, 2025F825Provide or get specialized rehabilitative services as required for a resident.EStandard
Apr 18, 2025F809Ensure 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.EStandard
Apr 18, 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
Apr 18, 2025F758Implement 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.EStandard
Apr 18, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 18, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 18, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Apr 18, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Apr 18, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Apr 18, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Apr 18, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Apr 18, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 18, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 18, 2025F693Ensure 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.DStandard
Apr 18, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Apr 18, 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
Apr 18, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 18, 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
Apr 18, 2025F620Not 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.DStandard
Apr 18, 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.EStandard
Apr 18, 2025F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Mar 19, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Mar 19, 2025F803Ensure 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.DComplaint
Mar 19, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Mar 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Mar 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 19, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 19, 2025F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Dec 27, 2024F620Not 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.DComplaint
Dec 27, 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.EComplaint
Sep 18, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Sep 18, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 2, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 15, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Apr 25, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Apr 25, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 25, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Apr 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 25, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 25, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 25, 2024F693Ensure 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.DStandard
Apr 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Apr 25, 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
Apr 25, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 25, 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
Apr 25, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Apr 25, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Apr 25, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Dec 7, 2023F761Ensure 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.DComplaint
Jul 14, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Jul 14, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.CStandard
Jul 14, 2023F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.BStandard
Jul 14, 2023F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.BStandard
Jul 14, 2023F880Provide and implement an infection prevention and control program.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $19,366 .

DateTypeFinePayment denial
Aug 14, 2023Fine$4,545
Aug 7, 2023Fine$4,235
Jul 17, 2023Fine$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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