Achieve Rehabilitation and Nursing Center
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-01-11 — IMMEDIATE JEOPARDY (tag F0578, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2024-03-07 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-03-07 — 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.
2023-12-15 — 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.
Staffing, from payroll records
Nursing hours / resident / day
2.76
state median 3.28
Weekend staffing gap
−12%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.12
registered nurses only
Contract (agency) staff
2%
share of all nursing hours
Days with zero RN hours reported
2
with residents present
Nursing staff turnover
63%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
6 enforcement action(s), totaling $73,538 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-11 | Fine | $39,354 |
| 2025-01-11 | Payment Denial | payment denial |
| 2024-03-07 | Fine | $24,119 |
| 2024-03-07 | Payment Denial | payment denial |
| 2023-12-15 | Fine | $10,065 |
| 2023-12-15 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-06 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-05 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-11 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-11 | F0578 | Resident Rights Deficiencies | J | not recorded |
| 2025-01-11 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-11 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-01-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-11 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-11 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-11 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-11 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-11 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-01-11 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-11 | F0908 | Environmental Deficiencies | E | not recorded |
| 2025-01-11 | F0921 | Environmental Deficiencies | F | not recorded |
| 2024-07-06 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-07 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-07 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-03-07 | F0691 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-07 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-07 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-03-07 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-12-15 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-02-01 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-01 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-01 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-02-01 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-02-01 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-02-01 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2021-05-19 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2021-05-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |