Facility profile · CCN 245425
Thorne Crest Retirement Center
35 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $43,082.
Record summary
Federal record · Q1 202635
Total citations
35
Last 3 years
3
Actual harm+
1
Federal penalties
$43,082
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
35 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 27, 2026 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Complaint |
| Jan 27, 2026 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Jan 27, 2026 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jan 27, 2026 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Jan 27, 2026 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jan 27, 2026 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jan 27, 2026 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Jan 27, 2026 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Jan 27, 2026 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jan 27, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard |
| Jan 27, 2026 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Jan 27, 2026 | 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 |
| Jan 27, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 27, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 27, 2026 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Jan 27, 2026 | 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 |
| Dec 26, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 18, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Sep 18, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 18, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 18, 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 |
| Dec 11, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Nov 20, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Oct 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 15, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| May 8, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Oct 26, 2023 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Oct 26, 2023 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Oct 26, 2023 | 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 |
| Oct 26, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Oct 26, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Oct 26, 2023 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard |
| Oct 26, 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 | Standard |
| Oct 26, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 26, 2023 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $43,082 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 15, 2024 | Fine | $43,082 | — |
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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