Facility profile · CCN 245610
St Gertrudes Health & Rehabilitation Center
33 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $29,260.
Record summary
Federal record · Q1 202633
Total citations
33
Last 3 years
2
Actual harm+
3
Federal penalties
$29,260
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
33 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 15, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 15, 2026 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Jan 15, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 15, 2026 | 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 |
| Jan 15, 2026 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Jan 15, 2026 | 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 | Standard |
| Jan 15, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jan 15, 2026 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Dec 18, 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 | Complaint |
| Dec 18, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Dec 18, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 1, 2025 | 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 |
| Nov 13, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 31, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Oct 31, 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. | D | Standard |
| Oct 31, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Oct 31, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Oct 31, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 31, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Oct 31, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Feb 12, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Feb 12, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Dec 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Dec 14, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 14, 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 |
| Dec 14, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | C | Standard |
| Dec 14, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Dec 14, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Dec 14, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Dec 14, 2023 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Aug 15, 2023 | 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 | Complaint |
| Jun 5, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $29,260 and 1 payment-denial actions spanning 4 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 12, 2024 | Fine | $14,742 | — |
| Dec 14, 2023 | Fine | $14,518 | — |
| Dec 14, 2023 | Payment Denial | — | Jan 13, 2024 · 4 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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