Facility profile · CCN 115624
Thunderbolt Care Center Llc
59 federal citations on record , including 11 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $292,548.
Record summary
Federal record · Q1 202659
Total citations
34
Last 3 years
15
Actual harm+
3
Federal penalties
$292,548
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
59 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 23, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| May 23, 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. | G | Complaint |
| May 16, 2025 | 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. | F | Complaint |
| May 16, 2025 | F732 | Post nurse staffing information every day. | B | Complaint |
| May 16, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Apr 23, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Complaint |
| Apr 23, 2025 | 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. | L | Complaint |
| Apr 23, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Feb 14, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| Feb 14, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | Complaint |
| Feb 14, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Feb 14, 2025 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Feb 14, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint |
| Feb 14, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Dec 12, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Dec 12, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| Dec 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Dec 12, 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. | F | Complaint |
| Dec 12, 2024 | F732 | Post nurse staffing information every day. | B | Complaint |
| Dec 12, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Dec 12, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint |
| Dec 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Dec 12, 2024 | 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 | Complaint |
| Dec 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Dec 12, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Dec 12, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Dec 12, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Dec 12, 2024 | 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. | E | Complaint |
| Dec 12, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint |
| Dec 12, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Dec 12, 2024 | 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 | Complaint |
| Dec 12, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Dec 12, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Dec 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Apr 18, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Apr 18, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Apr 18, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Apr 18, 2023 | 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. | D | Complaint |
| Apr 18, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | G | Complaint |
| Apr 18, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 18, 2023 | 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 | Complaint |
| Apr 18, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Apr 18, 2023 | 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 |
| Jun 11, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 11, 2021 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Jun 11, 2021 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Jun 11, 2021 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Jun 11, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 11, 2021 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 11, 2021 | 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 |
| Jun 11, 2021 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 11, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 11, 2021 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Jun 11, 2021 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jun 11, 2021 | 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. | E | Standard |
| Jun 11, 2021 | F572 | Give residents a notice of rights, rules, services and charges. | E | Standard |
| Jun 11, 2021 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard |
| Jun 11, 2021 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jun 11, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $292,548 and 1 payment-denial actions spanning 143 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 12, 2024 | Fine | $277,362 | — |
| Dec 12, 2024 | Payment Denial | — | Jan 21, 2025 · 143 days |
| Apr 18, 2023 | Fine | $15,186 | — |
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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