Mary, Queen and Mother Center

Certification

Medicare-certified.

Ratings

Inspection history (41)

Records from October 2021 to December 2025.

• October 18, 2021

  Tag F0758

  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….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0730

  Observe each nurse aide's job performance and give regular training.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0761

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0804

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0838

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0568

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0688

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0807

  Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0550

  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0570

  Assure the security of all personal funds of residents deposited with the facility.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0732

  Post nurse staffing information every day.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0577

  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

• October 18, 2021

  Tag F0620

  Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2021.

Penalties (3)

Total fines: $19,133

• November 4, 2025 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting February 4, 2026, lasting 30 days (triggered by inspection on November 4, 2025).

• March 24, 2025 · Fine

  CMS recorded a civil money penalty of $19,133 against this nursing home on March 24, 2025.

• March 24, 2025 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting April 26, 2025, lasting 9 days (triggered by inspection on March 24, 2025).

Staffing

3.36 nurse hours per resident per day in Q2 2026, down from 3.64 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit - Church related