Carriage Square Rehab And Healthcare Center

Inspection history (56)

• January 27, 2026 · B

  Citation F0842

  Federal surveyors cited this nursing home on 2026-01-27 under CMS tag F0842 (CMS scope/severity B: pattern, no actual harm, potential for 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 2026-01-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-27.GOV

• December 23, 2025 · E

  Citation F0690

  Federal surveyors cited this nursing home on 2025-12-23 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-12-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-23.GOV

• December 23, 2025 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2025-12-23 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 2025-12-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-23.GOV

• December 3, 2025 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2025-12-03 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 2025-12-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV

• November 3, 2025 · E

  Citation F0690

  Federal surveyors cited this nursing home on 2025-11-03 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-11-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-03.GOV

• March 14, 2025 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0656 (CMS scope/severity D: isolated, 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 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · F

  Citation F0946

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0946 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide training in compliance and ethics. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2025-03-14 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 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · F

  Citation F0940

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0940 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program for all new and existing staff members. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · F

  Citation F0947

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0947 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · F

  Citation F0882

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · J

  Citation F0684

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0684 (CMS scope/severity J: isolated, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · G

  Citation F0697

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0697 (CMS scope/severity G: isolated, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · D

  Citation F0881

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0881 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · F

  Citation F0847

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0847 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · F

  Citation F0941

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0941 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2025-03-14 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 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · F

  Citation F0944

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0944 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

• March 14, 2025 · E

  Citation F0695

  Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-14.GOV

Penalties

Total fines on file: $48,685

Staffing

Latest: 3.62 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company