NANCY HART OPERATION LLC
28 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
Serious inspection findings
2023-07-21 — IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2023-07-21 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-21 — IMMEDIATE JEOPARDY (tag F0835, severity J)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Staffing, from payroll records
Nursing hours / resident / day
2.55
state median 2.97
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −10%
RN hours / resident / day
0.04
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
68
with residents present
Nursing staff turnover
55%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $26,292 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-02-29 | Fine | $4,017 |
| 2024-02-29 | Fine | $6,682 |
| 2023-07-21 | Fine | $7,796 |
| 2023-07-21 | Fine | $7,797 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-07-24 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-24 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-24 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-24 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-04-29 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-29 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-29 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2024-02-29 | F0567 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-29 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-29 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-02-29 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-29 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-29 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-29 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-29 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-02-29 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-02-29 | F0881 | Infection Control Deficiencies | F | not recorded |
| 2023-07-21 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2023-07-21 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-07-21 | F0835 | Administration Deficiencies | J | not recorded |
| 2023-01-06 | F0568 | Resident Rights Deficiencies | F | not recorded |
| 2023-01-06 | F0569 | Resident Rights Deficiencies | E | not recorded |
| 2023-01-06 | F0570 | Resident Rights Deficiencies | F | not recorded |
| 2023-01-06 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2023-01-06 | F0626 | Resident Rights Deficiencies | D | not recorded |
| 2023-01-06 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-01-06 | F0921 | Environmental Deficiencies | E | not recorded |