Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 175340

The Gardens At Aldersgate

55 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $56,617.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
55
Total citations
46
Last 3 years
4
Actual harm+
3
Federal penalties
$56,617
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights9 Medication & Pharmacy8 Abuse & Neglect4 Infection Control4

Most common F-tags at this facility

F6896 F5503 F7443 F6772 F6902

Citation history

55 on record
SurveyF-TagViolationSeveritySource
Jan 7, 2026F908Keep all essential equipment working safely.EStandard
Jan 7, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 7, 2026F880Provide and implement an infection prevention and control program.FStandard
Jan 7, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 7, 2026F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Jan 7, 2026F761Ensure 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
Jan 7, 2026F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 7, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 7, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jan 7, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 7, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Jan 7, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Jan 7, 2026F583Keep residents' personal and medical records private and confidential.DStandard
Jan 7, 2026F576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard
Jan 7, 2026F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 7, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 16, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 30, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Oct 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Feb 22, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint
Feb 22, 2024F880Provide and implement an infection prevention and control program.EComplaint
Feb 22, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Feb 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Feb 22, 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.EComplaint
Feb 22, 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
Feb 22, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Feb 22, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Feb 22, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Feb 22, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Feb 22, 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
Feb 22, 2024F730Observe each nurse aide's job performance and give regular training.FComplaint
Feb 22, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Feb 22, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Feb 22, 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
Feb 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Feb 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 22, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 22, 2024F610Respond appropriately to all alleged violations.DComplaint
Feb 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 22, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jul 18, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Aug 18, 2022F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Aug 18, 2022F758Implement 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.DStandard
Aug 18, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 18, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Aug 18, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 18, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 18, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 18, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Aug 18, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $56,617 .

DateTypeFinePayment denial
Oct 2, 2024Fine$23,520—
May 9, 2024Fine$17,965—
Feb 22, 2024Fine$15,132—
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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