Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056425

Studebaker Healthcare Center

87 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $27,378.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
87
Total citations
73
Last 3 years
1
Actual harm+
2
Federal penalties
$27,378
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights17 Quality of Care14 Medication & Pharmacy13 Care Planning12 Infection Control12

Most common F-tags at this facility

F8808 F6565 F8424 F5804 F6894

Citation history

87 on record
SurveyF-TagViolationSeveritySource
Dec 2, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 2, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Sep 10, 2025F713Provide or arrange emergency care by a doctor 24 hours a day.DComplaint
Sep 10, 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.EComplaint
Sep 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 9, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 9, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Jan 31, 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.EComplaint
Dec 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 20, 2024F880Provide and implement an infection prevention and control program.EStandard
Dec 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 20, 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
Dec 20, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Dec 20, 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.EStandard
Dec 20, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 20, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Dec 20, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Dec 20, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 20, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Dec 20, 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
Dec 20, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Dec 20, 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.EStandard
Dec 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 12, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Nov 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 4, 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.DComplaint
Oct 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Oct 23, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Oct 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 9, 2024F880Provide and implement an infection prevention and control program.DComplaint
Aug 20, 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.EComplaint
Jun 18, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EComplaint
May 13, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 23, 2024F880Provide and implement an infection prevention and control program.EComplaint
Feb 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Feb 20, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 20, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 19, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 19, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Jan 19, 2024F908Keep all essential equipment working safely.FStandard
Jan 19, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jan 19, 2024F880Provide and implement an infection prevention and control program.EStandard
Jan 19, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jan 19, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 19, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 19, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 19, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jan 19, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 19, 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
Jan 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jan 19, 2024F679Provide activities to meet all resident's needs.EStandard
Jan 19, 2024F610Respond appropriately to all alleged violations.EStandard
Jan 19, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Jan 19, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jan 19, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Dec 4, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Dec 4, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 4, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EComplaint
Dec 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Dec 4, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Dec 3, 2023F887Educate 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.EComplaint
Dec 3, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint
Dec 3, 2023F881Implement a program that monitors antibiotic use.DComplaint
Dec 3, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 3, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 3, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 28, 2023F880Provide and implement an infection prevention and control program.FComplaint
Oct 27, 2023F583Keep residents' personal and medical records private and confidential.DComplaint
Feb 17, 2023F880Provide and implement an infection prevention and control program.FStandard
Feb 17, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 17, 2023F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Feb 17, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Feb 17, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Feb 17, 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.DStandard
Feb 17, 2023F760Ensure that residents are free from significant medication errors.DStandard
Feb 17, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Feb 17, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Feb 17, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 17, 2023F679Provide activities to meet all resident's needs.DStandard
Feb 17, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Feb 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 17, 2023F641Ensure each resident receives an accurate assessment.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $27,378 and 1 payment-denial actions spanning 3 days.

DateTypeFinePayment denial
Jan 19, 2024Fine$27,378—
Jan 19, 2024Payment Denial—Mar 20, 2024 · 3 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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