D
December 17, 2025
Tag F0760
Complaint investigation
Corrected Jan 2026
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
December 17, 2025
Tag F0756
Complaint investigation
Corrected Jan 2026
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
No actual harm, potential for more than minimal harm
D
December 17, 2025
Tag F0690
Complaint investigation
Corrected Jan 2026
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
December 17, 2025
Tag F0657
Complaint investigation
Corrected Jan 2026
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
D
December 17, 2025
Tag F0580
Complaint investigation
Corrected Jan 2026
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
E
December 17, 2025
Tag F0759
Complaint investigation
Corrected Jan 2026
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
E
December 17, 2025
Tag F0584
Complaint investigation
Corrected Jan 2026
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
No actual harm, potential for more than minimal harm
C
September 4, 2024
Tag F0732
Complaint investigation
Corrected Sep 2024
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, minimal potential
D
May 10, 2024
Tag F0842
Complaint investigation
Corrected May 2024
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
May 10, 2024
Tag F0684
Complaint investigation
Corrected May 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
April 9, 2024
Tag F0690
Complaint investigation
Corrected May 2024
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 9, 2024
Tag F0657
Complaint investigation
Corrected May 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
D
April 9, 2024
Tag F0655
Complaint investigation
Corrected May 2024
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, potential for more than minimal harm
D
April 9, 2024
Tag F0637
Complaint investigation
Corrected May 2024
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
No actual harm, potential for more than minimal harm
E
April 9, 2024
Tag F0550
Complaint investigation
Corrected May 2024
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
G
April 9, 2024
Tag F0684
Complaint investigation
Corrected May 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
F
February 15, 2024
Tag F0729
Complaint investigation
Corrected Feb 2024
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
No actual harm, potential for more than minimal harm
J
February 15, 2024
Tag F0689
Complaint investigation
Corrected Sep 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
November 28, 2023
Tag F0760
Complaint investigation
Corrected Dec 2023
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
November 28, 2023
Tag F0657
Complaint investigation
Corrected Dec 2023
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
D
October 17, 2023
Tag F0684
Complaint investigation
Corrected Oct 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
September 18, 2023
Tag F0777
Complaint investigation
Corrected Oct 2023
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
No actual harm, potential for more than minimal harm
D
September 18, 2023
Tag F0686
Complaint investigation
Corrected Oct 2023
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
D
February 22, 2023
Tag F0883
Corrected Mar 2023
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
D
February 22, 2023
Tag F0760
Corrected Mar 2023
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
February 22, 2023
Tag F0695
Corrected Mar 2023
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
D
February 22, 2023
Tag F0685
Corrected Mar 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
February 22, 2023
Tag F0684
Corrected Mar 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
February 22, 2023
Tag F0676
Corrected Mar 2023
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
No actual harm, potential for more than minimal harm
D
February 22, 2023
Tag F0656
Corrected Mar 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
February 22, 2023
Tag F0573
Corrected Mar 2023
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
No actual harm, potential for more than minimal harm
D
February 22, 2023
Tag F0550
Corrected Mar 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
F
February 22, 2023
Tag F0812
Corrected Mar 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
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.