D
December 21, 2023
Tag F0600
Complaint investigation
Infection control
Corrected Dec 2023
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
E
December 21, 2023
Tag F0943
Complaint investigation
Infection control
Corrected Dec 2023
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
No actual harm, potential for more than minimal harm
E
December 21, 2023
Tag F0761
Complaint investigation
Infection control
Corrected Dec 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
E
December 21, 2023
Tag F0755
Complaint investigation
Infection control
Corrected Dec 2023
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
E
December 21, 2023
Tag F0726
Complaint investigation
Infection control
Corrected Dec 2023
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
No actual harm, potential for more than minimal harm
F
December 21, 2023
Tag F0727
Complaint investigation
Infection control
Corrected Dec 2023
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
No actual harm, potential for more than minimal harm
K
December 21, 2023
Tag F0689
Complaint investigation
Infection control
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.
Immediate jeopardy to resident health or safety
D
April 27, 2023
Tag F0925
Corrected May 2023
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0881
Corrected May 2023
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0880
Corrected May 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0842
Corrected May 2023
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0791
Corrected May 2023
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0760
Corrected May 2023
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0758
Corrected May 2023
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
April 27, 2023
Tag F0690
Corrected May 2023
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
April 27, 2023
Tag F0685
Corrected May 2023
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0684
Corrected May 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
April 27, 2023
Tag F0656
Corrected May 2023
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0641
Corrected May 2023
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0558
Corrected May 2023
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
D
April 27, 2023
Tag F0550
Corrected May 2023
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
E
April 27, 2023
Tag F0814
Corrected May 2023
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
No actual harm, potential for more than minimal harm
E
April 27, 2023
Tag F0812
Corrected May 2023
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
April 27, 2023
Tag F0582
Corrected May 2023
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, potential for more than minimal harm
C
February 10, 2022
Tag F0814
Corrected Mar 2022
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
No actual harm, minimal potential
C
February 10, 2022
Tag F0732
Corrected Mar 2022
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, minimal potential
D
February 10, 2022
Tag F0947
Corrected Mar 2022
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
No actual harm, potential for more than minimal harm
D
February 10, 2022
Tag F0801
Corrected Mar 2022
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
No actual harm, potential for more than minimal harm
D
February 10, 2022
Tag F0770
Corrected Mar 2022
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
No actual harm, potential for more than minimal harm
D
February 10, 2022
Tag F0689
Corrected Mar 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
D
February 10, 2022
Tag F0644
Corrected Mar 2022
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
No actual harm, potential for more than minimal harm
D
February 10, 2022
Tag F0609
Corrected Mar 2022
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
E
February 10, 2022
Tag F0880
Corrected Mar 2022
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
February 10, 2022
Tag F0812
Corrected Mar 2022
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
February 10, 2022
Tag F0803
Corrected Mar 2022
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
February 10, 2022
Tag F0761
Corrected Mar 2022
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
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.