Facility profile · CCN 345283
The Citadel Mooresville
49 federal citations on record , including 4 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $200,335.
Record summary
Federal record · Q1 202649
Total citations
25
Last 3 years
9
Actual harm+
3
Federal penalties
$200,335
Total fines
1
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 |
|---|---|---|---|---|
| May 15, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 15, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 15, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 15, 2025 | 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 15, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Apr 8, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 8, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Apr 8, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Feb 1, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Feb 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Feb 1, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Feb 1, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | J | Complaint |
| Feb 1, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Feb 1, 2024 | F887 | Educate 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. | D | Standard |
| Feb 1, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Feb 1, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Feb 1, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 1, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Feb 1, 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. | E | Standard |
| Feb 1, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 1, 2024 | 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. | D | Standard |
| Feb 1, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Feb 1, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Feb 1, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Standard |
| Feb 1, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jul 15, 2022 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Jul 15, 2022 | F914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Standard |
| Jul 15, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 15, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Standard |
| Jul 15, 2022 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Jul 15, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jul 15, 2022 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Jul 15, 2022 | 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 |
| Jul 15, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jul 15, 2022 | 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 |
| Jul 15, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 15, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Standard |
| Jul 15, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 15, 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 |
| Jul 15, 2022 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jul 15, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 15, 2022 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Jul 15, 2022 | F585 | Honor 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. | D | Standard |
| Jul 15, 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. | B | Standard |
| Jul 15, 2022 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Jul 15, 2022 | F578 | Honor 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. | E | Standard |
| Jul 15, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jul 15, 2022 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | G | Standard |
| Jul 15, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $200,335 and 1 payment-denial actions spanning 3 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 8, 2025 | Fine | $103,644 | — |
| Feb 1, 2024 | Fine | $96,691 | — |
| Feb 1, 2024 | Payment Denial | — | Mar 2, 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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