D
May 3, 2025
Tag F0657
Complaint investigation
Corrected May 2025
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
J
May 3, 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.
Immediate jeopardy to resident health or safety
D
February 11, 2025
Tag F0758
Corrected Feb 2025
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
February 11, 2025
Tag F0641
Corrected Feb 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
February 11, 2025
Tag F0638
Corrected Feb 2025
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
No actual harm, potential for more than minimal harm
E
February 11, 2025
Tag F0727
Corrected Feb 2025
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
E
February 11, 2025
Tag F0677
Corrected Feb 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
December 17, 2024
Tag F0609
Complaint investigation
Corrected Dec 2024
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
J
December 17, 2024
Tag F0600
Complaint investigation
Corrected Dec 2024
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.
Immediate jeopardy to resident health or safety
D
December 7, 2023
Tag F0761
Corrected Jan 2024
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
December 7, 2023
Tag F0756
Corrected Jan 2024
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 7, 2023
Tag F0692
Corrected Jan 2024
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
D
December 7, 2023
Tag F0656
Corrected Jan 2024
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
December 7, 2023
Tag F0582
Corrected Jan 2024
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
December 7, 2023
Tag F0880
Corrected Jan 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
December 7, 2023
Tag F0640
Corrected Jan 2024
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
No actual harm, potential for more than minimal harm
E
December 7, 2023
Tag F0638
Corrected Jan 2024
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
No actual harm, potential for more than minimal harm
E
December 7, 2023
Tag F0636
Corrected Jan 2024
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
F
December 7, 2023
Tag F0851
Complaint investigation
Corrected Feb 2024
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, potential for more than minimal harm
F
December 7, 2023
Tag F0812
Corrected Jan 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
D
December 5, 2022
Tag F0941
Corrected Dec 2022
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
D
December 5, 2022
Tag F0851
Corrected Dec 2022
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, potential for more than minimal harm
D
December 5, 2022
Tag F0770
Corrected Dec 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
December 5, 2022
Tag F0637
Corrected Dec 2022
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
December 5, 2022
Tag F0578
Corrected Dec 2022
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, potential for more than minimal harm
E
December 5, 2022
Tag F0880
Corrected Dec 2022
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
December 5, 2022
Tag F0657
Corrected Feb 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
E
December 5, 2022
Tag F0641
Corrected Dec 2022
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
E
December 5, 2022
Tag F0640
Corrected Feb 2023
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
No actual harm, potential for more than minimal harm
E
December 5, 2022
Tag F0636
Corrected Feb 2023
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
F
December 5, 2022
Tag F0727
Corrected Feb 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 5, 2022
Tag F0689
Corrected Feb 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
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.