Carrollton Health and Rehabilitation Center

June 25, 2026 · Standard inspection · 15 citations

• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Risk of harm, no one hurt, widespread (level F)AdministrationPlan to fix it accepted

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

  Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryPlan to fix it accepted

• Keep residents' personal and medical records private and confidential.

  Risk of harm, no one hurt, a pattern (level E)Resident RightsPlan to fix it accepted

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Risk of harm, no one hurt, a pattern (level E)Quality of Life and CarePlan to fix it accepted

• Provide and implement an infection prevention and control program.

  Risk of harm, no one hurt, a pattern (level E)Infection ControlPlan to fix it accepted

• Ensure medication error rates are not 5 percent or greater.

  Risk of harm, no one hurt, a pattern (level E)Pharmacy ServicePlan to fix it accepted

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Risk of harm, no one hurt, a pattern (level E)Pharmacy ServicePlan to fix it accepted

• 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.

  Risk of harm, no one hurt, a pattern (level E)Pharmacy ServicePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningPlan to fix it accepted

• Reasonably accommodate the needs and preferences of each resident.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)EnvironmentalPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Ensure each resident receives an accurate assessment.

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningPlan to fix it accepted

March 26, 2026 · Complaint investigation · 1 citation

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

  Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Apr 5, 2026