J
April 4, 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.
Immediate jeopardy to resident health or safety
D
February 5, 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.
No actual harm, potential for more than minimal harm
E
February 5, 2025
Tag F0809
Complaint investigation
Corrected Mar 2025
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
No actual harm, potential for more than minimal harm
B
November 27, 2024
Tag F0847
Corrected Jan 2025
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
No actual harm, minimal potential
B
November 27, 2024
Tag F0620
Corrected Jan 2025
Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
No actual harm, minimal potential
C
November 27, 2024
Tag F0851
Corrected Jan 2025
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, minimal potential
C
November 27, 2024
Tag F0625
Corrected Jan 2025
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
No actual harm, minimal potential
C
November 27, 2024
Tag F0623
Corrected Jan 2025
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
No actual harm, minimal potential
C
November 27, 2024
Tag F0577
Corrected Jan 2025
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
No actual harm, minimal potential
D
November 27, 2024
Tag F0944
Corrected Jan 2025
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
No actual harm, potential for more than minimal harm
D
November 27, 2024
Tag F0791
Corrected Jan 2025
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
No actual harm, potential for more than minimal harm
D
November 27, 2024
Tag F0685
Corrected Jan 2025
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
November 27, 2024
Tag F0658
Corrected Jan 2025
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
D
November 27, 2024
Tag F0637
Corrected Jan 2025
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
D
November 27, 2024
Tag F0636
Corrected Jan 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
No actual harm, potential for more than minimal harm
D
November 27, 2024
Tag F0550
Complaint investigation
Corrected Jan 2025
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
November 27, 2024
Tag F0949
Corrected Jan 2025
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0947
Corrected Jan 2025
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
E
November 27, 2024
Tag F0946
Corrected Jan 2025
Administration Deficiencies
Provide training in compliance and ethics.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0945
Corrected Jan 2025
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0943
Corrected Jan 2025
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
November 27, 2024
Tag F0942
Corrected Jan 2025
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0941
Corrected Jan 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0919
Corrected Jan 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0887
Corrected Jan 2025
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0883
Corrected Jan 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0809
Complaint investigation
Corrected Mar 2025
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0806
Corrected Jan 2025
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
E
November 27, 2024
Tag F0756
Corrected Jan 2025
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
E
November 27, 2024
Tag F0725
Corrected Jan 2025
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0700
Corrected Jan 2025
Quality of Life and Care Deficiencies
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.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0688
Corrected Jan 2025
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
E
November 27, 2024
Tag F0687
Corrected Jan 2025
Quality of Life and Care Deficiencies
Provide appropriate foot care.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0677
Complaint investigation
Corrected Jan 2025
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
November 27, 2024
Tag F0656
Corrected Mar 2025
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
E
November 27, 2024
Tag F0641
Corrected Jan 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0602
Complaint investigation
Corrected Jan 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, potential for more than minimal harm
E
November 27, 2024
Tag F0584
Corrected Jan 2025
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
E
November 27, 2024
Tag F0582
Corrected Jan 2025
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
E
November 27, 2024
Tag F0568
Complaint investigation
Corrected Jan 2025
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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.