Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 195380

The Guest House Skilled Nursing Rehabilitation

41 federal citations on record , including 5 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $267,179.

5 Immediate Jeopardy

Record summary

Federal record · Q1 2026
41
Total citations
36
Last 3 years
6
Actual harm+
4
Federal penalties
$267,179
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care11 Resident Rights7 Care Planning6 Medication & Pharmacy5 Administration4

Most common F-tags at this facility

F6564 F5652 F6952 F7572 F6092

Citation history

41 on record
SurveyF-TagViolationSeveritySource
Apr 10, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Apr 10, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DStandard
Apr 10, 2025F761Ensure 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
Apr 10, 2025F758Implement 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.EStandard
Apr 10, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Apr 10, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Apr 10, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Apr 10, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 10, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 10, 2025F637Assess the resident when there is a significant change in conditionEStandard
Apr 10, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Apr 10, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
Apr 10, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard
Sep 25, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.JComplaint
Sep 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 25, 2024F610Respond appropriately to all alleged violations.DComplaint
Sep 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 28, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Jun 20, 2024F839Employ staff that are licensed, certified, or registered in accordance with state laws.EComplaint
Jun 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
May 9, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 9, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 14, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Mar 14, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard
Mar 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 14, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Mar 14, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
Mar 14, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Sep 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Aug 17, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.LComplaint
Aug 17, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Aug 17, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LComplaint
Aug 17, 2023F693Ensure 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.EComplaint
Aug 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Aug 17, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint
Mar 30, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Mar 30, 2023F693Ensure 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.EStandard
Mar 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 30, 2023F578Honor 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.EStandard
Mar 30, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $267,179 .

DateTypeFinePayment denial
Sep 25, 2024Fine$112,197—
Mar 14, 2024Fine$12,761—
Sep 20, 2023Fine$11,174—
Aug 17, 2023Fine$131,047—
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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