D
April 1, 2026
Tag F0689
Complaint investigation
Corrected Apr 2026
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
E
April 1, 2026
Tag F0921
Complaint investigation
Corrected Apr 2026
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, potential for more than minimal harm
D
December 24, 2025
Tag F0755
Complaint investigation
Corrected Dec 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
D
December 24, 2025
Tag F0684
Complaint investigation
Corrected Dec 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
F
December 6, 2025
Tag F0802
Complaint investigation
Corrected Dec 2025
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
No actual harm, potential for more than minimal harm
G
June 23, 2025
Tag F0684
Complaint investigation
Corrected Jul 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
D
May 12, 2025
Tag F0600
Complaint investigation
Corrected May 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, potential for more than minimal harm
G
March 19, 2025
Tag F0689
Complaint investigation
Corrected Mar 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
D
March 7, 2025
Tag F0580
Complaint investigation
Corrected Mar 2025
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
G
March 7, 2025
Tag F0686
Complaint investigation
Corrected Mar 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
G
February 21, 2025
Tag F0686
Complaint investigation
Corrected Mar 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
D
January 8, 2025
Tag F0684
Complaint investigation
Corrected Jan 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
D
January 8, 2025
Tag F0580
Complaint investigation
Corrected Jan 2025
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
D
October 15, 2024
Tag F0755
Complaint investigation
Corrected Oct 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
D
September 17, 2024
Tag F0607
Complaint investigation
Corrected Sep 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, potential for more than minimal harm
D
July 17, 2024
Tag F0880
Corrected Jul 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
July 17, 2024
Tag F0847
Corrected Jul 2024
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
No actual harm, potential for more than minimal harm
D
July 17, 2024
Tag F0759
Corrected Jul 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
July 17, 2024
Tag F0758
Corrected Jul 2024
Pharmacy Service Deficiencies
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 limited.
No actual harm, potential for more than minimal harm
D
July 17, 2024
Tag F0755
Corrected Jul 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
D
July 17, 2024
Tag F0684
Corrected Jul 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
D
July 17, 2024
Tag F0677
Complaint investigation
Corrected Jul 2024
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
E
July 17, 2024
Tag F0812
Corrected Jul 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
E
July 17, 2024
Tag F0689
Corrected Jul 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
D
November 17, 2023
Tag F0689
Complaint investigation
Corrected Nov 2023
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
D
October 11, 2023
Tag F0689
Complaint investigation
Corrected Oct 2023
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
D
September 27, 2023
Tag F0677
Complaint investigation
Corrected Sep 2023
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
D
August 16, 2023
Tag F0806
Corrected Aug 2023
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
No actual harm, potential for more than minimal harm
D
August 16, 2023
Tag F0698
Corrected Aug 2023
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
No actual harm, potential for more than minimal harm
D
August 16, 2023
Tag F0689
Corrected Aug 2023
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
D
August 16, 2023
Tag F0688
Corrected Aug 2023
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
No actual harm, potential for more than minimal harm
D
August 16, 2023
Tag F0684
Corrected Aug 2023
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
D
August 16, 2023
Tag F0677
Corrected Aug 2023
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
D
August 16, 2023
Tag F0660
Corrected Aug 2023
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
No actual harm, potential for more than minimal harm
E
August 16, 2023
Tag F0803
Corrected Aug 2023
Nutrition and Dietary Deficiencies
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.
No actual harm, potential for more than minimal harm
E
August 16, 2023
Tag F0761
Corrected Aug 2023
Pharmacy Service Deficiencies
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.
No actual harm, potential for more than minimal harm
D
August 4, 2022
Tag F0880
Corrected Aug 2022
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
August 4, 2022
Tag F0693
Corrected Sep 2022
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
No actual harm, potential for more than minimal harm
D
August 4, 2022
Tag F0690
Corrected Aug 2022
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
No actual harm, potential for more than minimal harm
D
August 4, 2022
Tag F0689
Corrected Aug 2022
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Citations are published by CMS from state survey agency findings. A citation describes what an inspector
observed on a specific date; homes are required to submit a correction plan, and many findings are resolved
long before you read them. Ask the administrator what happened and what changed.