Facility profile · CCN 455579
Sulphur Springs Health And Rehabilitation
49 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $44,044.
Record summary
Federal record · Q1 202649
Total citations
35
Last 3 years
1
Actual harm+
1
Federal penalties
$44,044
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
49 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 8, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Dec 12, 2024 | 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. | D | Complaint |
| Dec 12, 2024 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Complaint |
| Dec 12, 2024 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint |
| Dec 12, 2024 | 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. | D | Complaint |
| Dec 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Dec 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Dec 12, 2024 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Dec 12, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Dec 12, 2024 | 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 |
| Dec 12, 2024 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint |
| Dec 12, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Dec 12, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 12, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Dec 12, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 12, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Nov 15, 2023 | F926 | Have policies on smoking. | D | Standard |
| Nov 15, 2023 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Nov 15, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 15, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 15, 2023 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard |
| Nov 15, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| Nov 15, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Nov 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. | E | Standard |
| Nov 15, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Nov 15, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Nov 15, 2023 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Nov 15, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Nov 15, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Nov 15, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Nov 15, 2023 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Nov 15, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jun 20, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| Oct 5, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Oct 5, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 5, 2022 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard |
| Oct 5, 2022 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Oct 5, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Oct 5, 2022 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Oct 5, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 5, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Oct 5, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Oct 5, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 5, 2022 | 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 |
| Oct 5, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 5, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Oct 5, 2022 | 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 |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $44,044 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 12, 2024 | Fine | $44,044 | — |
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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