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.
Record summary
Federal record · Q1 202678
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 22, 2026 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 22, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jan 22, 2026 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Dec 31, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 31, 2025 | 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 | Complaint |
| Dec 31, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Nov 6, 2025 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint |
| Nov 6, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 30, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Oct 30, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Oct 3, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Oct 3, 2025 | F688 | Provide 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. | E | Complaint |
| Oct 3, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Oct 3, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Aug 18, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint |
| Aug 18, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Aug 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. | E | Complaint |
| Aug 18, 2025 | 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. | E | Complaint |
| May 21, 2025 | 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 | Complaint |
| May 21, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jan 28, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Jan 28, 2025 | F620 | Not 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. | D | Complaint |
| Jan 28, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Jan 28, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jan 28, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 28, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 28, 2025 | 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 |
| Jan 28, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Jan 28, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 28, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jan 28, 2025 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jan 28, 2025 | 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. | E | Standard |
| Jan 28, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Nov 8, 2024 | F693 | Ensure 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. | D | Complaint |
| Nov 8, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Complaint |
| Nov 8, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint |
| Sep 27, 2024 | F693 | Ensure 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. | D | Complaint |
| Sep 27, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 27, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Complaint |
| Sep 27, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint |
| Jul 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jun 3, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 18, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Oct 18, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Oct 18, 2023 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| May 25, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| May 25, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| May 25, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| May 25, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| May 25, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 25, 2023 | 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. | E | Complaint |
| May 25, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint |
| May 25, 2023 | F909 | Regularly 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. | D | Standard |
| May 25, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 25, 2023 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| May 25, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 25, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 25, 2023 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard |
| May 25, 2023 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard |
| May 17, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 17, 2019 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard |
| May 17, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 17, 2019 | 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 |
| May 17, 2019 | 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. | E | Standard |
| May 17, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| May 17, 2019 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| May 17, 2019 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| May 17, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| May 17, 2019 | 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 |
| May 17, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 17, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| May 17, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| May 17, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| May 17, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| May 17, 2019 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard |
| May 17, 2019 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard |
| May 17, 2019 | F567 | Honor the resident's right to manage his or her financial affairs. | F | Standard |
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.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 28, 2025 | Fine | $51,630 | — |
| Jan 28, 2025 | Payment Denial | — | Feb 28, 2025 · 18 days |
| Jun 3, 2024 | Fine | $14,053 | — |
| Oct 18, 2023 | Fine | $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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