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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 335377

Troy Victorian Rehabilitation & Nursing Care Cntr

68 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $186,939.

Abuse Icon Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
68
Total citations
42
Last 3 years
2
Actual harm+
2
Federal penalties
$186,939
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning13 Medication & Pharmacy12 Abuse & Neglect10 Resident Rights9 Quality of Care8

Most common F-tags at this facility

F8424 F6094 F7563 F7593 F5843

Citation history

68 on record
SurveyF-TagViolationSeveritySource
May 9, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
May 9, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
May 9, 2025F760Ensure that residents are free from significant medication errors.FComplaint
May 9, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
May 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 9, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
May 9, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FComplaint
May 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
May 9, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 9, 2025F584Honor 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.FComplaint
May 9, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
May 9, 2025F924Put firmly secured handrails on each side of hallways.EStandard
May 9, 2025F923Have enough outside ventilation via a window or mechanical ventilation, or both.DStandard
May 9, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
May 9, 2025F880Provide and implement an infection prevention and control program.DStandard
May 9, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 9, 2025F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DStandard
May 9, 2025F814Dispose of garbage and refuse properly.DStandard
May 9, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 9, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
May 9, 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.FStandard
May 9, 2025F759Ensure medication error rates are not 5 percent or greater.FStandard
May 9, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FStandard
May 9, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 9, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 9, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Feb 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 14, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jul 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jul 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 5, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 25, 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 25, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Mar 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 7, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Dec 7, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Dec 7, 2023F610Respond appropriately to all alleged violations.DComplaint
Dec 7, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 7, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 21, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 20, 2023F584Honor 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.EComplaint
Apr 20, 2023F814Dispose of garbage and refuse properly.EStandard
Apr 20, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 20, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 20, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 20, 2023F625Notify 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.DStandard
Apr 20, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 19, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 27, 2021F880Provide and implement an infection prevention and control program.EStandard
Apr 27, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Apr 27, 2021F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Apr 27, 2021F761Ensure 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.DStandard
Apr 27, 2021F760Ensure that residents are free from significant medication errors.DStandard
Apr 27, 2021F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 27, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 27, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 27, 2021F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Apr 27, 2021F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Apr 27, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 27, 2021F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 27, 2021F610Respond appropriately to all alleged violations.DStandard
Apr 27, 2021F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 27, 2021F584Honor 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.DStandard
Apr 27, 2021F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $186,939 .

DateTypeFinePayment denial
May 9, 2025Fine$162,434—
Jul 5, 2024Fine$24,505—
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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