All citations for Axiom Healthcare of Mount Vernon

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Axiom Healthcare of Mount Vernon

Last standard health inspection on record

December 19, 2024

Showing 1 to 25 of 28 citations

  1. Immediate jeopardy to resident health or safety

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

  3. Immediate jeopardy to resident health or safety

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (October 31, 2024).

  4. Immediate jeopardy to resident health or safety

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of November 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  5. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2025).

  6. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of November 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  7. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  8. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of April 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Widespread (many residents). CMS level F.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 8, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Widespread (many residents). CMS level F.

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 21, 2025).

  11. No harm, with potential for more than minimal harm

    Provide or arrange emergency care by a doctor 24 hours a day.

    Widespread (many residents). CMS level F.

    Health citation F-0713, Nursing and Physician Services Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 19, 2025).

  12. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  13. No harm, with potential for more than minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 14, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  15. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  16. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  17. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  18. No harm, with potential for more than minimal harm

    Provide training in compliance and ethics.

    Widespread (many residents). CMS level F.

    Health citation F-0946, Administration Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  20. No harm, with potential for more than minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Widespread (many residents). CMS level F.

    Health citation F-0949, Administration Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  21. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  22. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2025).

  23. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 13, 2025).

  24. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  25. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.