Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 245332

The Estates At Excelsior Llc

44 federal citations on record , including 1 at the Immediate Jeopardy level.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
44
Total citations
44
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights12 Quality of Care9 Infection Control7 Nutrition & Dietary4 Administration4

Most common F-tags at this facility

F8804 F6923 F5842 F8652 F8672

Citation history

44 on record
SurveyF-TagViolationSeveritySource
Nov 26, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jun 16, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jun 16, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jun 16, 2025F881Implement a program that monitors antibiotic use.DStandard
Jun 16, 2025F880Provide and implement an infection prevention and control program.FStandard
Jun 16, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jun 16, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Jun 16, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 16, 2025F809Ensure 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.FStandard
Jun 16, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jun 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 16, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 16, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 16, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 16, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 16, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 16, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 16, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard
Jun 16, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Jun 16, 2025F584Honor 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
Jun 16, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jun 16, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Jan 29, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jan 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 16, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
May 16, 2024F880Provide and implement an infection prevention and control program.EStandard
May 16, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
May 16, 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
May 16, 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.DStandard
Apr 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 11, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Aug 11, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 11, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Aug 11, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jun 2, 2023F880Provide and implement an infection prevention and control program.DComplaint
Jun 2, 2023F826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.EComplaint
Jun 2, 2023F584Honor 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.DComplaint
Jun 2, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Jun 2, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.CStandard
Jun 2, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 2, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jun 2, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
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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