Carroll Health and Rehab LLC

Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 10, 2026.

Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.

Rule F0568. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Rule F0838. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Rule F0947. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 1, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Try 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.

Rule F0700. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 16, 2025.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

Have policies on smoking.

Rule F0926. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

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.

Rule F0726. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 8, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 1, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 1, 2024.

Ensure 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.

Rule F0836. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 1, 2024.

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Respond appropriately to all alleged violations.

Rule F0610. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Rule F0636. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

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.

Rule F0726. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Verify that a nurse aide has been trained; and if they haven’t worked as a nurse aide for 2 years, receive retraining.

Rule F0729. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Rule F0882. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Rule F0947. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 10, 2024.