Ahmc Seton Medical Center

Inspection history (61)

• February 14, 2024 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · E

  Citation F0557

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0557 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · E

  Citation F0688

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0688 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · G

  Citation F0758

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0758 (CMS scope/severity G: isolated, actual harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · D

  Citation F0908

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0908 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · D

  Citation F0924

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0924 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Put firmly secured handrails on each side of hallways. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2024-02-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · E

  Citation F0920

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0920 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · G

  Citation F0686

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · D

  Citation F0887

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0887 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-02-14 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 15, 2022 · D

  Citation F0607

  Federal surveyors cited this nursing home on 2022-02-15 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2022-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-15.GOV

• February 15, 2022 · E

  Citation F0801

  Federal surveyors cited this nursing home on 2022-02-15 under CMS tag F0801 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2022-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-15.GOV

• February 15, 2022 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2022-02-15 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-08-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-15.GOV

• February 15, 2022 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2022-02-15 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2022-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-15.GOV

• February 15, 2022 · D

  Citation F0888

  Federal surveyors cited this nursing home on 2022-02-15 under CMS tag F0888 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure staff are vaccinated for COVID-19. The deficiency was recorded as corrected on 2022-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-15.GOV

• February 15, 2022 · G

  Citation F0688

  Federal surveyors cited this nursing home on 2022-02-15 under CMS tag F0688 (CMS scope/severity G: isolated, actual harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2022-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-15.GOV

• February 15, 2022 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2022-02-15 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-08-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-15.GOV

Penalties

Total fines on file: $41,019

Staffing

Latest: 5.87 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Olivia Joy Investment CORP

   parent · PAC 1658386735