Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 175463

Tanglewood Nursing & Rehabilitation

45 federal citations on record , including 2 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $243,033.

Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
Total citations
26
Last 3 years
3
Actual harm+
5
Federal penalties
$243,033
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care16 Resident Rights8 Medication & Pharmacy5 Nutrition & Dietary5 Care Planning3

Most common F-tags at this facility

F6773 F6893 F6982 F7272 F7552

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Oct 17, 2024F908Keep all essential equipment working safely.CComplaint
Oct 17, 2024F880Provide and implement an infection prevention and control program.EComplaint
Oct 17, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint
Oct 17, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Oct 17, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Oct 17, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Oct 17, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Oct 17, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Oct 17, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Oct 17, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Oct 17, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DComplaint
Oct 17, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Oct 17, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Oct 17, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Oct 17, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Oct 17, 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
Oct 17, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 17, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 17, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Oct 17, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Oct 17, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Oct 17, 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.DComplaint
Oct 17, 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.KComplaint
Jun 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Apr 18, 2023F880Provide and implement an infection prevention and control program.FStandard
Apr 18, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 18, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 18, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Apr 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 18, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 18, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Apr 18, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 18, 2023F610Respond appropriately to all alleged violations.DStandard
Apr 18, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 18, 2023F585Honor 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.EStandard
Apr 18, 2023F583Keep residents' personal and medical records private and confidential.DStandard
Apr 18, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 18, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 8, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 8, 2021F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 8, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 8, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 8, 2021F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $243,033 and 1 payment-denial actions spanning 20 days.

DateTypeFinePayment denial
Oct 17, 2024Fine$86,141—
Oct 17, 2024Payment Denial—Nov 15, 2024 · 20 days
Jun 17, 2024Fine$141,299—
May 16, 2023Fine$4,429—
May 16, 2023Fine$11,164—
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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