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Facility profile · CCN 265120

St Sophia Health & Rehabilitation Center

78 federal citations on record , including 4 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $87,273.

4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
78
Total citations
60
Last 3 years
4
Actual harm+
4
Federal penalties
$87,273
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

78 on record
SurveyF-TagViolationSeveritySource
Jan 22, 2026F880Provide and implement an infection prevention and control program.DComplaint
Jan 22, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 22, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 31, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 31, 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 31, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Nov 6, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint
Nov 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 30, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Oct 30, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Oct 3, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Oct 3, 2025F688Provide 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.EComplaint
Oct 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 3, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Aug 18, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Aug 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Aug 18, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Aug 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.EComplaint
May 21, 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
May 21, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 28, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jan 28, 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.DComplaint
Jan 28, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Jan 28, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jan 28, 2025F880Provide and implement an infection prevention and control program.DStandard
Jan 28, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 28, 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
Jan 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Jan 28, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 28, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jan 28, 2025F637Assess the resident when there is a significant change in conditionDStandard
Jan 28, 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
Jan 28, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Nov 8, 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
Nov 8, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint
Nov 8, 2024F567Honor the resident's right to manage his or her financial affairs.DComplaint
Sep 27, 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
Sep 27, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 27, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint
Sep 27, 2024F567Honor the resident's right to manage his or her financial affairs.DComplaint
Jul 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jun 3, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 18, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Oct 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Oct 18, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
May 25, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 25, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
May 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
May 25, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
May 25, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 25, 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
May 25, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint
May 25, 2023F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard
May 25, 2023F880Provide and implement an infection prevention and control program.EStandard
May 25, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
May 25, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 25, 2023F641Ensure each resident receives an accurate assessment.DStandard
May 25, 2023F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard
May 25, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
May 17, 2019F880Provide and implement an infection prevention and control program.EStandard
May 17, 2019F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard
May 17, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 17, 2019F761Ensure 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
May 17, 2019F758Implement 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
May 17, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 17, 2019F730Observe each nurse aide's job performance and give regular training.EStandard
May 17, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 17, 2019F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
May 17, 2019F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 17, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 17, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
May 17, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
May 17, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 17, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 17, 2019F576Ensure residents have reasonable access to and privacy in their use of communication methods.EStandard
May 17, 2019F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard
May 17, 2019F567Honor the resident's right to manage his or her financial affairs.FStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $87,273 and 1 payment-denial actions spanning 18 days.

DateTypeFinePayment denial
Jan 28, 2025Fine$51,630
Jan 28, 2025Payment DenialFeb 28, 2025 · 18 days
Jun 3, 2024Fine$14,053
Oct 18, 2023Fine$21,590
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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