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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055253

St. John Of God Retirement

77 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $124,440.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
77
Total citations
76
Last 3 years
4
Actual harm+
4
Federal penalties
$124,440
Total fines
2
Overall ★ rating

Most common violation categories here

Care Planning20 Quality of Care18 Administration7 Resident Rights6 Abuse & Neglect5

Most common F-tags at this facility

F6568 F6898 F8805 F6414 F6093

Citation history

77 on record
SurveyF-TagViolationSeveritySource
Jan 15, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 15, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 15, 2026F641Ensure each resident receives an accurate assessment.DComplaint
Dec 5, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Dec 5, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Dec 5, 2025F880Provide and implement an infection prevention and control program.EStandard
Dec 5, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyBStandard
Dec 5, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Dec 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 5, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.BStandard
Dec 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 5, 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.EStandard
Dec 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 5, 2025F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EStandard
Dec 5, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 5, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 5, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 5, 2025F641Ensure each resident receives an accurate assessment.DStandard
Dec 5, 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.DStandard
Mar 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 21, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 4, 2024F880Provide and implement an infection prevention and control program.FStandard
Oct 4, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Oct 4, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard
Oct 4, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 4, 2024F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Oct 4, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 4, 2024F761Ensure 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.EStandard
Oct 4, 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.EStandard
Oct 4, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Oct 4, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 4, 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
Oct 4, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 4, 2024F679Provide activities to meet all resident's needs.DStandard
Oct 4, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 4, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Oct 4, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 4, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Oct 4, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard
Oct 4, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 4, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Aug 19, 2024F732Post nurse staffing information every day.BComplaint
Jul 22, 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.DComplaint
Jul 3, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jun 12, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jun 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Apr 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 5, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jan 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Dec 21, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 20, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 2, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Oct 2, 2023F880Provide and implement an infection prevention and control program.EStandard
Oct 2, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Oct 2, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Oct 2, 2023F814Dispose of garbage and refuse properly.EStandard
Oct 2, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 2, 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.EStandard
Oct 2, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Oct 2, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 2, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 2, 2023F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Oct 2, 2023F641Ensure each resident receives an accurate assessment.DStandard
Aug 24, 2023F880Provide and implement an infection prevention and control program.DComplaint
Aug 24, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 20, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $124,440 and 1 payment-denial actions spanning 45 days.

DateTypeFinePayment denial
May 22, 2024Fine$14,050—
May 22, 2024Payment Denial—Jun 21, 2024 · 45 days
Nov 20, 2023Fine$95,479—
Oct 2, 2023Fine$14,911—
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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