BISHOP REHABILITATION AND NURSING CENTER
State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-07-11 — ACTUAL HARM (tag F0841, severity H)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
2024-07-11 — ACTUAL HARM (tag F0686, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-07-11 — ACTUAL HARM (tag F0658, severity I)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Ensure services provided by the nursing facility meet professional standards of quality.
2024-07-11 — ACTUAL HARM (tag F0580, severity I)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-07-11 — IMMEDIATE JEOPARDY (tag F0773, severity K)
Administration Deficiencies · correction not recorded in CMS data
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
2024-07-11 — IMMEDIATE JEOPARDY (tag F0745, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide medically-related social services to help each resident achieve the highest possible quality of life.
2024-07-11 — IMMEDIATE JEOPARDY (tag F0697, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2024-07-11 — IMMEDIATE JEOPARDY (tag F0554, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Allow residents to self-administer drugs if determined clinically appropriate.
Staffing, from payroll records
Nursing hours / resident / day
3.40
state median 3.31
Weekend staffing gap
−21%
fewer nursing hours on weekends · state median −11%
RN hours / resident / day
0.21
registered nurses only
Contract (agency) staff
6%
share of all nursing hours
Nursing staff turnover
56%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $699,602 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-11 | Fine | $378,437 |
| 2024-07-11 | Payment Denial | payment denial |
| 2023-12-05 | Fine | $321,165 |
| 2023-12-05 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-12 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-05 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2026-05-05 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-05 | F0686 | Quality of Life and Care Deficiencies | F | not recorded |
| 2026-05-05 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-04-01 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-16 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-16 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-16 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-16 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-16 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-16 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-12-20 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-20 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2024-12-20 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-20 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2024-12-20 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-20 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-20 | F0732 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-12-20 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-12-20 | F0836 | Administration Deficiencies | E | not recorded |
| 2024-07-11 | F0554 | Resident Rights Deficiencies | K | not recorded |
| 2024-07-11 | F0580 | Resident Rights Deficiencies | I | not recorded |
| 2024-07-11 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-11 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-11 | F0644 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-07-11 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-11 | F0658 | Resident Assessment and Care Planning Deficiencies | I | not recorded |
| 2024-07-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0686 | Quality of Life and Care Deficiencies | H | not recorded |
| 2024-07-11 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0697 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-07-11 | F0726 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-07-11 | F0745 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-07-11 | F0756 | Pharmacy Service Deficiencies | F | not recorded |
| 2024-07-11 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-11 | F0773 | Administration Deficiencies | K | not recorded |
| 2024-07-11 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-07-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-07-11 | F0835 | Administration Deficiencies | F | not recorded |
| 2024-07-11 | F0841 | Nursing and Physician Services Deficiencies | H | not recorded |
| 2024-07-11 | F0940 | Administration Deficiencies | F | not recorded |
| 2024-01-19 | F0836 | Administration Deficiencies | E | not recorded |
| 2023-12-05 | F0550 | Resident Rights Deficiencies | H | not recorded |
| 2023-12-05 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2023-12-05 | F0622 | Resident Rights Deficiencies | G | not recorded |
| 2023-12-05 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-05 | F0684 | Quality of Life and Care Deficiencies | H | not recorded |