Facility profile · CCN 225382
The Guardian Center
61 federal citations on record .
Record summary
Federal record · Q1 202661
Total citations
16
Last 3 years
3
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
61 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 10, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Dec 10, 2025 | 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 |
| Apr 30, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Apr 30, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Apr 30, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Apr 30, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Apr 30, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Apr 30, 2025 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard |
| Apr 30, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Apr 23, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 23, 2024 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | B | Standard |
| Apr 23, 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 |
| Apr 23, 2024 | 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. | D | Standard |
| Apr 23, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Apr 23, 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 |
| Apr 23, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Nov 10, 2022 | F946 | Provide training in compliance and ethics. | F | Standard |
| Nov 10, 2022 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard |
| Nov 10, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | F | Standard |
| Nov 10, 2022 | F886 | Perform COVID19 testing on residents and staff. | D | Standard |
| Nov 10, 2022 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Nov 10, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Nov 10, 2022 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Nov 10, 2022 | 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 | Standard |
| Nov 10, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Nov 10, 2022 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Nov 10, 2022 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Nov 10, 2022 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Nov 10, 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 |
| Nov 10, 2022 | 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. | D | Standard |
| Nov 10, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Nov 10, 2022 | 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 10, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Nov 10, 2022 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Standard |
| Nov 10, 2022 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Nov 10, 2022 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Nov 10, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Nov 10, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 10, 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 |
| Nov 10, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 10, 2022 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Nov 10, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Nov 10, 2022 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Nov 10, 2022 | F675 | Honor each resident's preferences, choices, values and beliefs. | H | Standard |
| Nov 10, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Nov 10, 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 |
| Nov 10, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Nov 10, 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 |
| Nov 10, 2022 | F625 | Notify 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. | D | Standard |
| Nov 10, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Nov 10, 2022 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Nov 10, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Nov 10, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Nov 10, 2022 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Nov 10, 2022 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| Nov 10, 2022 | 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 |
| Nov 10, 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. | D | Standard |
| Nov 10, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Nov 10, 2022 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Nov 10, 2022 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard |
| Nov 10, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
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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