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Facility profile · CCN 475025

Springfield Health & Rehab

85 federal citations on record , including 9 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $637,467.

Abuse Icon Special Focus Status 9 Immediate Jeopardy

Record summary

Federal record · Q1 2026
85
Total citations
74
Last 3 years
18
Actual harm+
4
Federal penalties
$637,467
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

85 on record
SurveyF-TagViolationSeveritySource
Dec 9, 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.DComplaint
Dec 9, 2025F610Respond appropriately to all alleged violations.EComplaint
Dec 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Dec 9, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Dec 9, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Nov 19, 2025F760Ensure that residents are free from significant medication errors.HComplaint
Nov 19, 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.DComplaint
Nov 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Nov 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint
Nov 19, 2025F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.KComplaint
Nov 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Nov 19, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 19, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Mar 27, 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.EComplaint
Mar 27, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FComplaint
Mar 27, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Mar 27, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard
Mar 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 27, 2025F791Provide or obtain dental services for each resident.DStandard
Mar 27, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 27, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Mar 27, 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.FStandard
Mar 27, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EStandard
Mar 27, 2025F699Provide care or services that was trauma informed and/or culturally competent.EStandard
Mar 27, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 27, 2025F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard
Mar 27, 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.EStandard
Mar 27, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Mar 27, 2025F610Respond appropriately to all alleged violations.DStandard
Mar 27, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.FStandard
Mar 27, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Mar 3, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.GComplaint
Mar 3, 2025F880Provide and implement an infection prevention and control program.LComplaint
Mar 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Mar 3, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.GComplaint
Mar 3, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LComplaint
Mar 3, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Mar 3, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Mar 3, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.JComplaint
Mar 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Mar 3, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Mar 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 3, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint
Mar 3, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 3, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Mar 3, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.KComplaint
Nov 26, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 18, 2024F697Provide safe, appropriate pain management for a resident who requires such services.HComplaint
Oct 18, 2024F692Provide enough food/fluids to maintain a resident's health.GComplaint
Oct 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 12, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 12, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Jun 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 16, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint
Apr 16, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Apr 16, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.EComplaint
Jan 10, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.CStandard
Jan 10, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.CStandard
Jan 10, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 10, 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
Jan 10, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 10, 2024F732Post nurse staffing information every day.CStandard
Jan 10, 2024F679Provide activities to meet all resident's needs.DStandard
Jan 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 10, 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.DStandard
Jan 10, 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
Jan 10, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Dec 21, 2023F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.BComplaint
Dec 21, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Dec 21, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.CComplaint
Dec 21, 2023F584Honor 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 11, 2023F880Provide and implement an infection prevention and control program.EComplaint
Mar 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 26, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jan 26, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 26, 2023F730Observe each nurse aide's job performance and give regular training.FStandard
Jan 26, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jan 26, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 26, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 26, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 26, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jan 26, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 26, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $637,467 and 1 payment-denial actions spanning 110 days.

DateTypeFinePayment denial
Nov 19, 2025Fine$283,220
Mar 3, 2025Fine$253,692
Mar 3, 2025Payment DenialMar 28, 2025 · 110 days
Oct 18, 2024Fine$100,555
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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