Our Ladys Center For Rehabilitation & Healthcare

Inspection history (26)

• December 31, 2024 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• December 31, 2024 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• December 31, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• December 31, 2024 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• December 31, 2024 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• December 31, 2024 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• December 31, 2024 · D

  Citation F0712

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0712 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that the resident and his/her doctor meet face-to-face at all required visits. The deficiency was recorded as corrected on 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• December 31, 2024 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2024-12-31 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-31.GOV

• November 22, 2023 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2023-11-22 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 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · D

  Citation F0919

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0919 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-11-22 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 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · D

  Citation F0868

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0812 (CMS scope/severity F: widespread, 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 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• November 22, 2023 · E

  Citation F0925

  Federal surveyors cited this nursing home on 2023-11-22 under CMS tag F0925 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2024-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-22.GOV

• February 9, 2022 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2022-02-09 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2022-05-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-09.GOV

• February 9, 2022 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2022-02-09 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2022-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-09.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.54 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Pleasantville Ventures LLC

   parent · PAC 3476933730