Facility profile · CCN 056377
The Rehabilitation Center On Pico
64 federal citations on record , including 1 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $193,710.
Record summary
Federal record · Q1 202664
Total citations
48
Last 3 years
4
Actual harm+
6
Federal penalties
$193,710
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
64 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 14, 2026 | 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 | Complaint |
| Jul 2, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jul 2, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Apr 4, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Feb 27, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Feb 27, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 27, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 27, 2025 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Feb 27, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 27, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Feb 27, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard |
| Feb 27, 2025 | F760 | Ensure that residents are free from significant medication errors. | L | Standard |
| Feb 27, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 27, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Feb 27, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Feb 27, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Feb 27, 2025 | 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 |
| Feb 27, 2025 | 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. | D | Standard |
| Jan 28, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jan 28, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Oct 10, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Oct 10, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint |
| Sep 6, 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 | Complaint |
| Sep 6, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Apr 17, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 15, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Apr 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 11, 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 | Complaint |
| Mar 29, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 23, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 23, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 23, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 23, 2024 | 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 |
| Feb 23, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Feb 23, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 23, 2024 | 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 |
| Feb 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 |
| Feb 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Feb 23, 2024 | 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 |
| Feb 23, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 20, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Dec 20, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Sep 12, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Sep 12, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Sep 11, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Jun 12, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| May 21, 2021 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| May 21, 2021 | F911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard |
| May 21, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 21, 2021 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard |
| May 21, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 21, 2021 | 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. | D | Standard |
| May 21, 2021 | F732 | Post nurse staffing information every day. | D | Standard |
| May 21, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 21, 2021 | F693 | Ensure 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. | E | Standard |
| May 21, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| May 21, 2021 | F685 | Assist a resident in gaining access to vision and hearing services. | E | Standard |
| May 21, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 21, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| May 21, 2021 | 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 |
| May 21, 2021 | 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 |
| May 21, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 6 enforcement actions against this facility, including 4 civil money penalties totaling $193,710 and 2 payment-denial actions spanning 73 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 27, 2025 | Fine | $26,611 | — |
| Feb 27, 2025 | Payment Denial | — | Mar 28, 2025 · 37 days |
| Sep 6, 2024 | Fine | $106,821 | — |
| Sep 6, 2024 | Payment Denial | — | Oct 4, 2024 · 36 days |
| Mar 29, 2024 | Fine | $44,863 | — |
| Feb 23, 2024 | Fine | $15,415 | — |
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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