Totally Kids Rehabilitation Hospital - D/P SNF

Certification

Medicare-certified.

Ratings

Inspection history (23)

Records from January 2024 to April 2026.

• April 16, 2026

  Tag F0638

  Assure that each resident’s assessment is updated at least once every 3 months.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.

• April 16, 2026

  Tag F0656

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.

• April 16, 2026

  Tag F0636

  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.

• April 16, 2026

  Tag F0695

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.

• April 16, 2026

  Tag F0848

  Provide a neutral and fair arbitration process and agree to arbitrator and venue.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 7, 2026.

• April 16, 2026

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.

• April 16, 2026

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2026.

• July 18, 2025

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 25, 2025.

• January 9, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.

• January 9, 2025

  Tag F0656

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.

• January 9, 2025

  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 D: isolated, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.

• January 9, 2025

  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 February 7, 2025.

• January 9, 2025

  Tag F0638

  Assure that each resident’s assessment is updated at least once every 3 months.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.

• January 9, 2025

  Tag F0755

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.

• January 9, 2025

  Tag F0812

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 22, 2025.

• January 9, 2025

  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 February 7, 2025.

• January 12, 2024

  Tag F0812

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 12, 2024.

• January 12, 2024

  Tag F0638

  Assure that each resident’s assessment is updated at least once every 3 months.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 12, 2024.

• January 12, 2024

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 12, 2024.

• January 12, 2024

  Tag F0755

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 12, 2024.

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

11.49 nurse hours per resident per day in Q2 2026, up from 10.66 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

• Parent company: Faculty Physicians and Surgeons of Llusm